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Local anaesthetic infusion with elastomeric pump after arthroscopic subacromial decompression
Kevin Little1, Anand Pillai, Umberto Fazzi
1West of Scotland Deanery Orthopaedic Rotation, Glasgow, UK. little549@hotmail.com
Annals of the Royal College of Surgeons of England
|May 31, 2007
Summary
Extended local anesthesia using an elastomeric pump after shoulder surgery effectively manages pain, reducing the need for opioids and enabling safe same-day patient discharge.
Area of Science:
- Orthopedic Surgery
- Pain Management
- Anesthesiology
Background:
- Extended local anesthesia offers advantages like safety, reliability, and cost-effectiveness for postoperative pain control.
- Portable infusion devices provide continuous local anesthetic delivery.
- Arthroscopic subacromial decompression is a common shoulder surgery.
Purpose of the Study:
- To evaluate the efficacy and safety of a portable elastomeric infusion device for postoperative pain management in patients undergoing arthroscopic subacromial decompression.
- To assess the potential for same-day discharge in patients receiving continuous local anesthesia.
Main Methods:
- Forty patients undergoing arthroscopic subacromial decompression were enrolled.
- An epidural catheter connected to an elastomeric local anesthetic infusion system was placed in the subacromial space post-procedure.
- Pain was assessed using a visual analogue scale (VAS).
Main Results:
- No patients reported severe pain during the study period.
- No patients required parenteral opioid analgesia while the infusion device was in place.
- The elastomeric pump provided effective continuous pain relief.
Conclusions:
- The portable elastomeric infusion device is a safe and effective method for managing postoperative pain after shoulder surgery.
- This approach facilitates early patient discharge and significantly reduces the need for opioid analgesics.
- Continuous local anesthesia via elastomeric pumps shows promise for outpatient shoulder surgery protocols.
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