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Related Concept Videos

Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...

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Related Experiment Video

Updated: May 17, 2026

Reverse Total Shoulder Arthroplasty
10:10

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

Pain Management Strategies in Reverse Total Shoulder Arthroplasty.

Wyatt B David1, Luke Sang2, Ryan T Halvorson2

  • 1Department of Orthopedics, University of California, San Francisco, 505 Parnassus Avenue, San Francisco, CA, 94143, US. wyatt.david@ucsf.edu.

Current Reviews in Musculoskeletal Medicine
|May 15, 2026
PubMed
Summary
This summary is machine-generated.

Optimizing pain after reverse total shoulder arthroplasty (rTSA) involves regional anesthesia and multimodal analgesia to reduce opioid use. Patient factors significantly influence pain outcomes, necessitating a personalized approach for better recovery.

Keywords:
Multimodal analgesiaPostoperative painRegional anesthesiaReverse total shoulder arthroplasty

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Last Updated: May 17, 2026

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Published on: September 7, 2022

Area of Science:

  • Orthopedic Surgery
  • Pain Management
  • Anesthesiology

Background:

  • Reverse total shoulder arthroplasty (rTSA) is common for rotator cuff issues and fractures.
  • Postoperative pain after rTSA is prevalent, leading to increased opioid use and prolonged recovery.
  • Minimizing opioid consumption is crucial due to the ongoing opioid epidemic.

Purpose of the Study:

  • To review current evidence on pain management strategies for rTSA.
  • To emphasize regional anesthesia, multimodal analgesia, and periarticular injections.
  • To discuss the role of Enhanced Recovery After Surgery (ERAS) protocols and patient-specific factors.

Main Methods:

  • Review of recent scientific literature on rTSA pain management.
  • Analysis of regional anesthesia techniques (e.g., interscalene blocks).
  • Evaluation of multimodal analgesia, periarticular injections, and ERAS protocols.

Main Results:

  • Interscalene nerve blocks offer early pain relief but have risks; alternative blocks may be safer.
  • Multimodal analgesia and periarticular injections reduce opioid use and improve pain scores.
  • Patient factors like preoperative opioid use and comorbidities significantly impact pain and dependence.
  • ERAS protocol evidence in rTSA is limited.

Conclusions:

  • Pain management after rTSA is shifting towards a multimodal, patient-centered strategy.
  • Regional anesthesia, non-opioid analgesia, and periarticular injections are key components.
  • Further research is needed on optimal regional techniques and ERAS implementation for rTSA.