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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 210 - 216 (7page)
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초록· 키워드
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Background: Infusion methods during regional analgesia using perineural catheters may influence the quality of postoperative analgesia. This study was conducted to compare the effects of combined or bolus-only infusion of 0.2% ropivacaine on the postoperative analgesia in interscalene brachial plexus block (ISBPB) with perineural catheterization.Methods: Patients scheduled for arthroscopic rotator cuff repair were divided into two groups, one that would receive a combined infusion (group C, n = 32), and one that would receive intermittent infusion (group I, n = 32). A perineural catheter was inserted into the interscalene brachial plexus (ISBP) using ultrasound (US) and nerve stimulation, and 10 ml of 0.2% ropivacaine was administered. After the operation, group C received a continuous infusion of 4 ml/h, and a 4 ml bolus with a lockout interval of 60 min. Group I received only a 4 ml bolus, and the lockout interval was 30 min. Postoperative pain by the numeric rating scale (NRS) and the forearm muscle tone by the manual muscle test (MMT) were checked and evaluated at the following timepoints: preoperative, and postoperative 1, 4, 12, 24, 36, and 48 h. Supplemental opioid requirements, total consumed dose of local anesthetic, and adverse effects were compared between the two groups.Results: Sixty-four patients completed the study and the postoperative values such as operation time, time to discharge, and operation site were comparable. There were no differences in NRS scores and supplemental opioid requirements between the two groups. The MMT scores of group I at 4 and 12 h after surgery were significantly higher than those of group C (P ＜ 0.05). The total consumed dose of local anesthetic was significantly lower in group I than in group C (P ＜ 0.05). The adverse effects were not different between the groups.Conclusions: The bolus-only administration of 0.2% ropivacaine provided a similar analgesic effect with a lower total volume of local anesthetic and decreased motor weakness compared to combined infusion. There-fore, bolus-only administration is an effective postoperative analgesic method in ISBPB with perineural cathe-terization after rotator cuff repair. (Korean J Pain 2015; 28: 210-216)
목차
등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Avellanet M / 2015 / Permanent upper trunk plexopathy after interscalene brachial plexus block / J Clin Monit Comput
Borgeat A / 2001 / Patient-controlled interscalene analgesia with ropivacaine 0.2% versus bupivacaine 0.15% after major open shoulder surgery: the effects on hand motor funct
Dhir S / 2007 / Case report : ropivacaine neurotoxicity at clinical doses in interscalene brachial plexus block / Can J Anaesth 54 : 912 ~ 916
Egol KA / 2014 / Regional anesthesia improves outcome in patients undergoing proximal humerus fracture repair / Bull Hosp Jt Dis 72 : 231 ~ 236
Fredrickson MJ / 2011 / Patient-initiated mandatory boluses for ambulatory continuous interscalene analgesia : an effective strategy for optimizing analgesia and minimizing
Borgeat A / 2001 / Patient-controlled interscalene analgesia with ropivacaine 0.2% versus bupivacaine 0.15% after major open shoulder surgery: the effects on hand motor funct
Dhir S / 2007 / Case report : ropivacaine neurotoxicity at clinical doses in interscalene brachial plexus block / Can J Anaesth 54 : 912 ~ 916
Egol KA / 2014 / Regional anesthesia improves outcome in patients undergoing proximal humerus fracture repair / Bull Hosp Jt Dis 72 : 231 ~ 236
Fredrickson MJ / 2011 / Patient-initiated mandatory boluses for ambulatory continuous interscalene analgesia : an effective strategy for optimizing analgesia and minimizing
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