» Articles » PMID: 38556912

Postoperative Pain Control for Shoulder Arthroplasty

Overview
Date 2024 Apr 1
PMID 38556912
Authors
Affiliations
Soon will be listed here.
Abstract

Since its inception in 1893, shoulder arthroplasty has become an increasingly common surgical procedure. Between 1998 and 2008, shoulder arthroplasty procedures increased by nearly 28,000 cases per year in the United States alone and is the fastest growing joint replacement surgery among all joint. Despite its advantages, shoulder arthroplasty is often accompanied by significant postoperative pain. Pain control continues to be a major concern in patient management, as it impacts operative costs, postoperative mobility, length of hospital stay, patient satisfaction, and overall surgical outcomes. This review aims to provide an overview of drugs such as opioids and regional anesthetics, as well as methods such as local wound infiltration, nerve block, brachial plexus infiltration, cryotherapy and multimodal approaches employed in postoperative shoulder arthroplasty pain control.

References
1.
Yan Z, Chen Z, Ma C . Liposomal bupivacaine versus interscalene nerve block for pain control after shoulder arthroplasty: A meta-analysis. Medicine (Baltimore). 2017; 96(27):e7226. PMC: 5502145. DOI: 10.1097/MD.0000000000007226. View

2.
Malik O, Kaye A, Kaye A, Belani K, Urman R . Emerging roles of liposomal bupivacaine in anesthesia practice. J Anaesthesiol Clin Pharmacol. 2017; 33(2):151-156. PMC: 5520585. DOI: 10.4103/joacp.JOACP_375_15. View

3.
Vijittrakarnrung C, Freshman R, Anigwe C, Lansdown D, Feeley B, Ma C . Periarticular injection in addition to interscalene nerve block can decrease opioid consumption and pain following total shoulder arthroplasty: a comparison cohort study. J Shoulder Elbow Surg. 2023; 32(12):e597-e607. DOI: 10.1016/j.jse.2023.05.009. View

4.
Guo C, Ma J, Ma X, Lu B, Tian A, Sun L . Supraclavicular block versus interscalene brachial plexus block for shoulder surgery: A meta-analysis of clinical control trials. Int J Surg. 2017; 45:85-91. DOI: 10.1016/j.ijsu.2017.07.098. View

5.
Rosenfeld D, Ivancic M, Hattrup S, Renfree K, Watkins A, Hentz J . Perineural versus intravenous dexamethasone as adjuncts to local anaesthetic brachial plexus block for shoulder surgery. Anaesthesia. 2016; 71(4):380-8. DOI: 10.1111/anae.13409. View