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2025, Number 1

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Acta Med 2025; 23 (1)

Efficacy of different pharmacological combinations in ultrasoundguided interscalene block for shoulder arthroscopy

Achar FT, Fortis OLL, Villaseñor CJA, Yáñez AAA, Aguilera ZAM

Language: Spanish
References: 26
Page: 18-23
PDF size: 241.60 Kb.


ABSTRACT

Introduction: postoperative pain can be present in up to 80% of patients undergoing surgery, increasing morbidity and costs. Shoulder surgery is considered one of the procedures with the highest incidence of postoperative pain. The use of an immediate postoperative regional analgesia technique is associated with a decrease in postoperative complications. The purpose of this study was to compare the duration of analgesia between different drug mixtures used in ultrasound-guided interscalene block performed in the immediate postoperative period of shoulder arthroscopies due to rotator cuff pathology. Material and methods: Prospective, longitudinal, comparative, and experimental clinical trial. Thirty patients were scheduled for shoulder arthroscopy with rotator cuff repair, and ASA I and II were included. They were distributed into three groups, each consisting of 10 patients, according to the mixture used in the interscalene block: A) ropivacaine, lidocaine, clonidine, and dexamethasone; B) ropivacaine, lidocaine, and dexamethasone; and C) ropivacaine, lidocaine, and clonidine. The collected data included vital signs, pain intensity, adverse events, and rescue medication. Results: No statistically significant differences were observed between the three groups throughout the postoperative period. Conclusions: Based on the results, we can recommend any of the three mixtures used in this study as postoperative analgesia in shoulder arthroscopy in well-selected patients.


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