Shoulder surgery is very often followed by severe postoperative pain. Loco-regional anaesthesia has greatly contributed as a solution of this problem. Nevertheless most of surgery is still performed under general anaesthesia. In this case many different methods have been proposed in order to mitigate postoperative pain. Intra-articular administration of local anaesthetics after shoulder surgery is not yet in routinely clinical practice. In this study efficacy of intra-articular administration of Ropivacaine versus Bupivacaine has been evaluated. Analysis of results showed both drugs to share the same effectiveness within four hours postoperatively. In subsequent period (6-24 hours) Ropivacaine demonstrated to provide a statistically significant better postoperative pain relief. Furthermore Ropivacaine group patients needed postoperative analgesics to a lesser extent than Bupivacaine group. The long-losting satisfactory level of analgesia, particularly with Ropivacaine, could recommend the use of intra-articular analgesia even for day-hospital or one-day surgery procedures.

Rodolà, F., Vagnoni, S., D'avolio, S., Vurchio, M., Micci, D. M., Chierichini, A., Vergari, A., Ciano, F., Intra-articular analgesia following arthroscopic surgery of the shoulder, <<EUROPEAN REVIEW FOR MEDICAL AND PHARMACOLOGICAL SCIENCES>>, 2001; 5 (4): 143-146 [http://hdl.handle.net/10807/22071]

Intra-articular analgesia following arthroscopic surgery of the shoulder

Vagnoni, Salvatore;Vurchio, Maddalena;Micci, Daniela Maria;Chierichini, Angelo;Vergari, Alessandro;Ciano, Francesca
2002

Abstract

Shoulder surgery is very often followed by severe postoperative pain. Loco-regional anaesthesia has greatly contributed as a solution of this problem. Nevertheless most of surgery is still performed under general anaesthesia. In this case many different methods have been proposed in order to mitigate postoperative pain. Intra-articular administration of local anaesthetics after shoulder surgery is not yet in routinely clinical practice. In this study efficacy of intra-articular administration of Ropivacaine versus Bupivacaine has been evaluated. Analysis of results showed both drugs to share the same effectiveness within four hours postoperatively. In subsequent period (6-24 hours) Ropivacaine demonstrated to provide a statistically significant better postoperative pain relief. Furthermore Ropivacaine group patients needed postoperative analgesics to a lesser extent than Bupivacaine group. The long-losting satisfactory level of analgesia, particularly with Ropivacaine, could recommend the use of intra-articular analgesia even for day-hospital or one-day surgery procedures.
Inglese
Rodolà, F., Vagnoni, S., D'avolio, S., Vurchio, M., Micci, D. M., Chierichini, A., Vergari, A., Ciano, F., Intra-articular analgesia following arthroscopic surgery of the shoulder, <<EUROPEAN REVIEW FOR MEDICAL AND PHARMACOLOGICAL SCIENCES>>, 2001; 5 (4): 143-146 [http://hdl.handle.net/10807/22071]
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10807/22071
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