Optimal analgesic effect of continuous supraclavicular brachial plexus block with ropivacaine after shoulder surgery

Tomohisa Niiya, Masanori Yamauchi, Naomi Mizukami, Yukitoshi Niiyama, Junpei Ohsone, Hironori Honma, Tomoyuki Kawamata, Michiaki Yamakage, Tomoaki Hirose

研究成果: Article査読

抄録

Background : Optimal dose of local anesthetics for supraclavicular brachial plexus block (BPB) is still unknown. We prospectively investigated the analgesic effect of ultrasound-guided continuous supraclavicular BPB with ropivacaine at different infusion rates. Methods : Thirty-nine patients scheduled to undergo shoulder surgery were randomly assigned to four groups ; receiving no continuous BPB (control group, n=10), BPB with 0.2% of ropivacaine at an infusion rate of 4 ml·hr-1 (n=12), BPB with 6 ml·hr-1 (n=12) or BPB with 8 ml·hr-1 (n=5). All patients were permitted to receive nonsteroidal anti-inflammatory drugs (NSAIDs) after surgery. Visual analogue scale (VAS) for postoperative pain was assessed and frequencies of the requirement of NSAIDs were recorded in each group. Results : The pain scores during 24 hours after surgery in the 6 ml·hr-1 group (3-24 mm) were significantly lower than those in the 4 ml·hr-1 group (4-42 mm) and control group (6-56 mm). Mean frequency of administrations of NSAIDs for 24 hours after surgery in the 6 ml·hr-1 (0.8±0.8) group was significantly lower than that in the control group (1.7±1.0). Continuous administration in two cases in the 8 ml·hr-1 group was discontinued due to leakage of local anesthetics and headache. Conclusions : Continuous supraclavicular BPB with 0.2% ropivacaine at 6 ml·hr-1 is effective for the pain management after shoulder surgery and is not an excess dose.

本文言語English
ページ(範囲)1385-1390
ページ数6
ジャーナルJapanese Journal of Anesthesiology
59
11
出版ステータスPublished - 2010 11 10
外部発表はい

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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