Abstract | BACKGROUND: METHODS: Thirty-six patients undergoing arthroscopic elbow surgery under general anesthesia were randomized to either a study group receiving axillary nerve block (Ax group) or a control group receiving portal site injections of local anesthetic (Lo group). During the first 48 hours after surgery, pain visual analog scale (VAS) scores (0-100), total amount of oral analgesics required, and patient satisfaction were assessed. RESULTS: Among all 36 patients, mean pain VAS scores at rest were 37, 18, and 9 for the first 12-hour period and at 24 and 48 hours after surgery, respectively. The mean pain VAS scores during physiotherapy were 47 and 33 at 24 and 48 hours postoperatively, respectively. No intergroup differences were observed between the Ax and Lo groups at any time point after surgery (P value range, .41 to .87). The mean number of loxoprofen tablets required during the 48-hour study period was 5.1 in the Ax group and 4.5 in the Lo group (P = .90). The Ax and Lo groups had mean overall patient satisfaction scores of 91 and 91, respectively (P = .98). CONCLUSIONS:
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Authors | Takuro Wada, Masanori Yamauchi, Gosuke Oki, Tomoko Sonoda, Michiaki Yamakage, Toshihiko Yamashita |
Journal | Journal of shoulder and elbow surgery
(J Shoulder Elbow Surg)
Vol. 23
Issue 3
Pg. 291-6
(Mar 2014)
ISSN: 1532-6500 [Electronic] United States |
PMID | 24439245
(Publication Type: Journal Article, Randomized Controlled Trial)
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Copyright | Copyright © 2014 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Mosby, Inc. All rights reserved. |
Chemical References |
- Analgesics
- Anesthetics, Local
- Phenylpropionates
- loxoprofen
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Topics |
- Analgesics
(administration & dosage)
- Anesthetics, Local
(administration & dosage)
- Arthroscopy
(methods)
- Axilla
- Elbow
(surgery)
- Female
- Humans
- Male
- Middle Aged
- Nerve Block
(methods)
- Pain Management
(methods)
- Pain Measurement
- Pain, Postoperative
(classification, prevention & control)
- Patient Satisfaction
(statistics & numerical data)
- Phenylpropionates
(administration & dosage)
- Prospective Studies
- Treatment Outcome
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