Developing a pain management regiment for outpatient shoulder arthroscopy: 4 study insights

Written by Jessica Kim Cohen | January 25, 2017 | Print  | Email

A study in American Journal of Sports Medicine investigated the outcomes of common postoperative pain management techniques following outpatient arthroscopic shoulder surgery.

The researchers identified 40 control trials. Of these studies, 15 examined nerve blocks, four examined oral medication regimens, 12 examined subacromial infusion, eight examined multiple modalities and one examined cryotherapy.


Here's what you need to know:


1. Interscalene nerve blocks were the most effective postoperative pain management method.


2. To improve the duration of interscalene nerve blocks, dexamethasone, clonidine, intrabursal oxycodone and magnesium proved helpful.


3. When considering a more aggressive pain management regiment, increasing concentrations, continuous infusions, and patient-controlled methods was also effective.


4. Preoperative oral pregabalin and etoricoxibalso decreased postoperative pain.


"On the basis of the evidence in this review, we recommend the use of ISBs as the most effective analgesic for outpatient arthroscopic shoulder surgery," the researchers concluded.


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