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- W3092579971 abstract "This study compares early postoperative pain control, narcotic usage, and cost in patients undergoing total shoulder arthroplasty with the use of either a single-shot liposomal bupivacaine interscalene nerve block (SS) or a continuous catheter interscalene nerve block (IC). Two consecutive cohorts of patients undergoing primary anatomic or reverse total shoulder arthroplasty at different centers with different regional anesthesia protocols (SS vs. IC) were reviewed. Outcomes included pain on a numeric rating scale, narcotic consumption in milligram morphine equivalents, hospital length of stay, duration of nerve blockade, and complications. Block-related supply costs and an estimate of anesthesia professional fees are also reported. Among 100 patients evenly divided between SS and IC, the difference in mean numeric rating scale pain scores on postoperative day 0 and 1 was statistically significant in favor of the SS group (1.2 vs. 2.5) but otherwise no difference was noted on postoperative day 2 or 3. There was no difference in milligram morphine equivalents or length of stay. The average duration of the nerve block was 49.8 hours in the SS group, and 84.0 hours in the IC group. SS was less costly than IC regional anesthesia. Liposomal bupivacaine used for a single shot interscalene nerve block is as effective as an indwelling catheter for controlling postoperative pain after shoulder arthroplasty. In our system, SS was more cost effective. Level Ⅲ; Retrospective Cohort Design; Treatment Study" @default.
- W3092579971 created "2020-10-15" @default.
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- W3092579971 date "2020-11-01" @default.
- W3092579971 modified "2023-09-30" @default.
- W3092579971 title "Single-shot liposomal bupivacaine interscalene nerve block provides equivalent pain relief compared to continuous catheter interscalene nerve block in total shoulder arthroplasty" @default.
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- W3092579971 doi "https://doi.org/10.1053/j.sart.2020.09.003" @default.
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