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International Orthopaedics

, Volume 43, Issue 9, pp 2117–2124 | Cite as

Intra-operative effect of interscalene brachial plexus block to arthroscopic rotator cuff repair surgery

  • Sungwook Choi
  • Taejung Kim
  • Yong Suk Kwon
  • Hyunseong KangEmail author
Original Paper
  • 189 Downloads

Abstract

Introduction

To determine whether the placement of an interscalene brachial plexus block (IBPB) with general anaesthesia before shoulder arthroscopy would be effective in establishing a clear visual field and in shortening the surgical procedure.

Method

This prospective randomized control trial study included 152 patients who had undergone arthroscopic rotator cuff repair. Group A received IBPB and group B did not receive IBPB. A visual clarity scale (VCS) was determined by arthroscopic visualization. The systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), duration of surgical procedure, VCS, and medication that was administered for haemodynamic stability were recorded. Results: The VCS was improved in group A at stages 2 and 3 of the surgical procedures (p < 0.05), but there were no significant difference at stages 1 (p = 0.288) and 4 (p = 0.062). SBP, DBP, and HR were higher in group B during surgery (p < 0.05). The administered analgesics were higher in group B (p = 0.003), but there were no differences in hypotensive agents (p = 0.287). No significant difference was observed for the duration of surgery (p = 0.704).

Conclusions

Pre-operative IBPB with general anaesthesia for arthroscopic rotator cuff repair was beneficial in maintaining haemodynamic stability and improving the VCS during surgery.

Keywords

Rotator cuff tear Interscalene brachial plexus block Visual clarity scale Arthroscopic surgery 

Notes

Funding information

This work was supported by a research grant from the Jeju National University Hospital.

Compliance with ethical standards

All the authors have taken a significant and crucial part in the preparation of the article and that they have read and approved the final version.

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The study submitted has been reviewed by IRB; after reviewing submitted IRB protocol and other related materials, the participated IRB members agreed upon the “Approval” of the research.

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Copyright information

© SICOT aisbl 2018

Authors and Affiliations

  1. 1.Department of Orthopedic SurgeryJeju National University School of MedicineAra-dongSouth Korea

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