Abstract | OBJECTIVES: DESIGN: Prospective nonblinded study. SETTING: University hospital. PARTICIPANTS: Sixty adult patients. INTERVENTION: MEASUREMENTS AND MAIN RESULTS:
Pain was measured during their stay in the postanesthesia care unit (PACU) by using a visual analog score (VAS). Opioids were administered when pain relief was incomplete. Pain intensity was re-estimated the next morning and patient satisfaction was scored. VAS was found to be significantly lower in the low-volume interscalene block group than in the diclofenac group at 30 minutes after treatment and when leaving PACU (p < 0.001 for both). Patients in the interscalene block group stayed longer in the PACU (p = 0.019), and significantly fewer required rescue opioids (p = 0.03). There was no significant difference between the groups in patient satisfaction with the pain treatment. CONCLUSIONS:
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Authors | Michal Barak, Dmitri Iaroshevski, Eleonardo Poppa, Alon Ben-Nun, Yeshayahu Katz |
Journal | Journal of cardiothoracic and vascular anesthesia
(J Cardiothorac Vasc Anesth)
Vol. 21
Issue 4
Pg. 554-7
(Aug 2007)
ISSN: 1053-0770 [Print] United States |
PMID | 17678783
(Publication Type: Comparative Study, Journal Article)
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Chemical References |
- Anesthetics, Local
- Anti-Inflammatory Agents, Non-Steroidal
- Diclofenac
- Bupivacaine
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Topics |
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Anesthetics, Local
(administration & dosage)
- Anti-Inflammatory Agents, Non-Steroidal
(administration & dosage)
- Brachial Plexus
- Bupivacaine
(administration & dosage)
- Diclofenac
(administration & dosage)
- Female
- Follow-Up Studies
- Humans
- Injections
- Male
- Middle Aged
- Nerve Block
(methods)
- Pain Measurement
- Pain, Postoperative
(therapy)
- Prospective Studies
- Shoulder Pain
(drug therapy)
- Thoracotomy
(adverse effects)
- Treatment Outcome
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