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Continuous interscalene brachial plexus block versus parenteral analgesia for postoperative pain relief after major shoulder surgery

  1. Hameed Ullah*,
  2. Khalid Samad,
  3. Fauzia A Khan

Editorial Group: Cochrane Anaesthesia, Critical and Emergency Care Group

Published Online: 4 FEB 2014

Assessed as up-to-date: 10 DEC 2012

DOI: 10.1002/14651858.CD007080.pub2


How to Cite

Ullah H, Samad K, Khan FA. Continuous interscalene brachial plexus block versus parenteral analgesia for postoperative pain relief after major shoulder surgery. Cochrane Database of Systematic Reviews 2014, Issue 2. Art. No.: CD007080. DOI: 10.1002/14651858.CD007080.pub2.

Author Information

  1. Aga Khan University Hospital, Department of Anaesthesiology, Karachi, Pakistan

*Hameed Ullah, Department of Anaesthesiology, Aga Khan University Hospital, Stadium Road, PO Box 3500, Karachi, 74800, Pakistan. hameed.ullah@aku.edu.

Publication History

  1. Publication Status: New
  2. Published Online: 4 FEB 2014

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References

References to studies included in this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
  4. References to other published versions of this review
Hofmann-Kiefer 2008 {published data only}
  • Hofmann-Kiefer K, Eiser T, Chappell D, Leuschner S, Conzen P, Schwender D. Does patient-controlled continuous interscalene brachial plexus block improve early functional rehabilitation after open shoulder surgery?. Anesthesia and Analgesia 2008;106:991-6.
Wei 2012 {published data only}
  • Wei Y, Guo X-Y, Yang L, Rong Y-L, Xu CY, Li M. Effects of continuous interscalene brachial plexus block plus general anesthesia versus general anesthesia alone on perioperative management of arthroscopic rotator cuff repair surgery. National Medical Journal of China 2012;92:2327-30.

References to studies excluded from this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
  4. References to other published versions of this review
Al-Kaisy 1998 {published data only}
  • Al-Kaisy A, McGuire G, Chan VWS, Bruin G, Peng P, Miniaci A, et al. Analgesic effect of interscalene block using low-dose bupivacaine for outpatient arthroscopic shoulder surgery. Regional Anesthesia and Pain Medicine 1998;23:469-73.
Bain 2001 {published data only}
  • Bain GI, Rudkin G, Comley AS, Heptinstall RJ, Chittleborough M. Digitally assisted acromioplasty: the effect of interscalene block on this new surgical technique. Arthroscopy 2001;17:44-9.
Barber 2002 {published data only}
Beaudet 2008 {published data only}
  • Beaudet V, Williams SR, Tétreault P, Perrault MA. Perioperative interscalene block versus intra-articular injection of local anesthetics for postoperative analgesia in shoulder surgery. Regional Anesthesia and Pain Medicine 2008;33:134-8.
Birnbaum 2007 {published data only}
  • Birnbaum J, Kip M, Spies CD, Hein OV, Labs K, Moeckel G, et al. The effect of stimulating versus nonstimulating catheters for continuous interscalene plexus blocks in short-term pain management. Journal of Clinical Anesthesia 2007;19:434-9.
Blumenthal 2005 {published data only}
Borgeat 1997 {published data only}
  • Borgeat A, Schäppi B, Biasca N, Gerber C. Patient-controlled analgesia after major shoulder surgery: patient-controlled interscalene analgesia versus patient-controlled analgesia. Anesthesiology 1997;87:1343-7.
Borgeat 1998 {published data only}
  • Borgeat A, Tewes E, Biasca N, Gerber C. Patient-controlled interscalene analgesia with ropivacaine after major shoulder surgery: PCIA vs PCA. British Journal of Anaesthesia 1998;81:603-5.
Borgeat 2000 {published data only}
  • Borgeat A, Perschak H, Bird P, Hodler J, Gerber C. Patient-controlled interscalene analgesia with ropivacaine 0.2% versus patient-controlled intravenous analgesia after major shoulder surgery: effects on diaphragmatic and respiratory function. Anesthesiology 2000;92:102-8.
Ciccone 2008 {published data only}
  • Ciccone WJ II, Busey TD, Weinstein DM, Walden DL, Elias JJ. Assessment of pain relief provided by interscalene regional block and infusion pump after arthroscopic shoulder surgery. Arthroscopy 2008;24:14-9.
Contreras-Domínguez 2008 {published data only}
  • Contreras-Domínguez V, Carbonell-Bellolio P, Sanzana ES, Ojeda-Greciet A, Orrego-Santos A. Efficacy of a continuous interscalene block vs intra-articular analgesia for postoperative pain in arthroscopic acromioplasty. Revista Española de Anestesiología y Reanimación 2008;55:475-80.
Culebras 2001 {published data only}
  • Culebras X, Van Gessel E, Hoffmeyer P, Gamulin Z. Clonidine combined with a long acting local anesthetic does not prolong postoperative analgesia after brachial plexus block but does induce hemodynamic changes. Anesthesia and Analgesia 2001;92:199-204.
Delaunay 2005 {published data only}
  • Delaunay L, Souron V, Lafosse L, Marret E, Toussaint B. Analgesia after arthroscopic rotator cuff repair: subacromial versus interscalene continuous infusion of ropivacaine. Regional Anesthesia and Pain Medicine 2005;30:117-22.
Dewees 2006 {published data only}
  • Dewees JL, Schultz CT, Wilkerson FK, Kelly JA, Biegner AR, Pellegrini JE. Comparison of two approaches to brachial plexus anesthesia for proximal upper extremity surgery: interscalene and intersternocleidomastoid. American Association of Nurse Anesthetists 2006;74:201-6. [16786913]
Esteves 2002 {published data only}
  • Esteves S, Sá P, Figueiredo D, Pèrez Souto A. Duration and quality of postoperative analgesia after brachial plexus block for shoulder surgery: ropivacaine 0.5% versus ropivacaine 0.5% plus clonidine. Revista Española de Anestesiologíay Reanimación 2002;49:302-5.
Fontana 2009 {published data only}
  • Fontana C, Di Donato A, Di Giacomo G, Costantini A, De Vita A, Lancia F, et al. Postoperative analgesia for arthroscopic shoulder surgery: a prospective randomized controlled study of intraarticular, subacromial injection, interscalenic brachial plexus block and intraarticular plus subacromial injection efficacy. European Journal of Anaesthesiology 2009;26:689-93.
Fredrickson 2010 {published data only}
  • Fredrickson MJ, Ball CM, Dalgleish AJ. Analgesic effectiveness of a continuous versus single-injection interscalene block for minor arthroscopic shoulder surgery. Regional Anesthesia and Pain Medicine 2010;35:28-33.
Fredrickson 2011 {published data only}
  • Fredrickson MJ, Abeysekera A, Price DJ, Wong AC. Patient-initiated mandatory boluses for ambulatory continuous interscalene analgesia: an effective strategy for optimizing analgesia and minimizing side-effects. British Journal of Anaesthesia 2011;106:239-45.
Goebel 2010 {published data only}
  • Goebel S, Stehle J, Schwemmer U, Reppenhagen S, Rath B, Gohlke F. Interscalene brachial plexus block for open-shoulder surgery: a randomized, double-blind, placebo-controlled trial between single-shot anesthesia and patient-controlled catheter system. Archives of Orthopaedic and Trauma Surgery 2010;130:533-40.
Gohl 2001 {published data only}
  • Gohl MR, Moeller RK, Olson RL, Vacchiano CA. The addition of interscalene block to general anesthesia for patients undergoing open shoulder procedures. American Association of Nurse Anesthetists 2001;69:105-9.
Gonano 2009 {published data only}
  • Gonano C, Kettner SC, Ernstbrunner M, Schebesta K, Chiari A, Marhofer P. Comparison of economical aspects of interscalene brachial plexus blockade and general anaesthesia for arthroscopic shoulder surgery. British Journal of Anaesthesia 2009;103:428-33.
Grossi 1998 {published data only}
  • Grossi P, Calliada S, Braga A, Caldara P, D'Aloia A, Coluccia R. Interscalene brachial plexus block combined with total intravenous anaesthesia and laryngeal mask airway for shoulder surgery. Anaesthesia 1998;53:20-1.
Hadzic 2005 {published data only}
  • Hadzic A, Williams BA, Karaca PE, Hobeika P, Unis G, Dermksian J, et al. For outpatient rotator cuff surgery, nerve block anesthesia provides superior same-day recovery over general anesthesia. Anesthesiology 2005;102:1001-7.
Ilfeld 2003 {published data only}
  • Ilfeld BM, Morey TE, Wright TW, Chidgey LK, Enneking FK. Continuous interscalene brachial plexus block for postoperative pain control at home: a randomized, double-blinded, placebo-controlled study. Anesthesia and Analgesia 2003;96:1089-95.
Ilfeld 2006 {published data only}
  • Ilfeld BM, Vandenborne K, Duncan PW, Sessler DI, Enneking FK, Shuster JJ, et al. Ambulatory continuous interscalene nerve blocks decrease the time to discharge readiness after total shoulder arthroplasty: a randomized, triple-masked, placebo-controlled study. Anesthesiology 2006;105:999-1007.
Iskandar 2003 {published data only}
  • Iskandar H, Benard A, Ruel-Raymond J, Cochard G, Manaud B. The analgesic effect of interscalene block using clonidine as an analgesic for shoulder arthroscopy. Anesthesia and Analgesia 2003;96:260-2.
Kean 2006 {published data only}
  • Kean J, Wigderowitz CA, Coventry DM. Continuous interscalene infusion and single injection using levobupivacaine for analgesia after surgery of the shoulder. A double-blind, randomised controlled trial. The Journal of Bone and Joint Surgery. British volume 2006;88:1173-7.
Kinnard 1994 {published data only}
  • Kinnard P, Truchon R, St-Pierre A, Montreuil J. Interscalene block for pain relief after shoulder surgery. A prospective randomized study. Clinical Orthopaedics and Related Research 1994;304:22-4.
Klein 2000 {published data only}
  • Klein SM, Grant SA, Greengrass RA, Nielsen KC, Speer KP, White W, et al. Interscalene brachial plexus block with a continuous catheter insertion system and a disposable infusion pump. Anesthesia and Analgesia 2000;91:1473-8.
Klein 2001 {published data only}
  • Klein SM, Nielsen KC, Martin A, White W, Warner DS, Steele SM, et al. Interscalene brachial plexus block with continuous intraarticular infusion of ropivacaine. Anesthesia and Analgesia 2001;93:601-5.
Klein 2003 {published data only}
  • Klein SM, Steele SM, Nielsen KC, Pietrobon R, Warner DS, Martin A, et al. The difficulties of ambulatory interscalene and intra-articular infusions for rotator cuff surgery: a preliminary report. Canadian Journal of Anaesthesia 2003;50:265-9.
Laurila 2002 {published data only}
Le 2008 {published data only}
  • Le LT, Loland VJ, Mariano ER, Gerancher JC, Wadhwa AN, Renehan EM, et al. Effects of local anesthetic concentration and dose on continuous interscalene nerve blocks: a dual-center, randomized, observer-masked, controlled study. Regional Anesthesia and Pain Medicine 2008;33:518-25.
Lehtipalo 1999 {published data only}
Mahmoodpoor 2011 {published data only}
  • Mahmoodpoor A, Abedini N, Parish M, Jannati A, Baradaran R. Efficacy of low dose interscalene brachial plexus block on post anesthesia recovery parameters after shoulder surgery. Pakistan Journal of Medical Sciences 2011;27:265-8.
Mariano 2009 {published data only}
  • Mariano ER, Afra R, Loland VJ, Sandhu NS, Bellars RH, Bishop ML, et al. Continuous interscalene brachial plexus block via an ultrasound-guided posterior approach: a randomized, triple-masked, placebo-controlled study. Anesthesia and Analgesia 2009;108:1688-94.
Muittari 1998 {published data only}
  • Muittari P, Kirvelä O. The safety and efficacy of intrabursal oxycodone and bupivacaine in analgesia after shoulder surgery. Regional Anesthesia and Pain Medicine 1998;23:474-8.
Nisar 2008 {published data only}
  • Nisar A, Morris MW, Freeman JV, Cort JM, Rayner PR, Shahane SA. Subacromial bursa block is an effective alternative to interscalene block for postoperative pain control after arthroscopic subacromial decompression: a randomized trial. Journal of Shoulder and Elbow Surgery / American Shoulder and Elbow Surgeons 2008;17:78-84.
Patacsil 2008 {published data only}
  • Patacsil JA, Wemette JP, Eborn TW, Daniel CA, Pellegrini JE. Intraartciular infusion pump vs an interscalene brachial plexus block for improved pain control in arthroscopic shoulder surgery. American Association of Nurse Anesthetists 2008;76:386.
Pennekamp 2004 {published data only}
  • Pennekamp PH, Pless V, Kraft CN, Stütz A, Schmitt O, Diedrich O. Effectiveness of interscalene plexus block for open subacromion decompression. Deutsche Gesellschaft für Orthopädie und Orthopädische Chirirurgie 2004;142:598-602.
Pere 1993 {published data only}
  • Pere P. The effect of continuous interscalene brachial plexus block with 0.125% bupivacaine plus fentanyl on diaphragmatic motility and ventilatory function. Regional Anesthesia 1993;18:93-7.
Sia 2003 {published data only}
  • Sia S, Sarro F, Lepri A, Bartoli M. The effect of exogenous epinephrine on the incidence of hypotensive/bradycardic events during shoulder surgery in the sitting position during interscalene block. Anesthesia and Analgesia 2003;97:583-8.
Singelyn 1999 {published data only}
  • Singelyn FJ, Seguy S, Gouverneur JM. Interscalene brachial plexus analgesia after open shoulder surgery: continuous versus patient-controlled infusion. Anesthesia and Analgesia 1999;89:1216-20.
Singelyn 2004 {published data only}
  • Singelyn FJ, Lhotel L, Fabre B. Pain relief after arthroscopic shoulder surgery: a comparison of intraarticular analgesia, suprascapular nerve block, and interscalene brachial plexus block. Anesthesia and Analgesia 2004;99:589-92.
Tamosiūnas 2004 {published data only}
  • Tamosiūnas R, Gudas R, Karbonskiene A, Marchertiene I. Bupivacaine for continuous interscalene brachial plexus analgesia after shoulder surgery. Medicina 2004;40:351-7.

Additional references

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
  4. References to other published versions of this review
Benumof 2000
Bishop 2005
  • Bishop JY, Sprague M, Gelber J, Krol M, Rosenblatt MA, Gladstone J, et al. Interscalene regional anaesthesia for shoulder surgery. The Journal of Bone and Joint Surgery. American volume 2005;87(5):974-9. [MEDLINE: 15866958]
Borgeat 2007
  • Borgeat A. New insights of anesthesia for shoulder surgery. Journal of Medical Science 2007;27:47-54.
Desborough 2000
Egger 1997
  • Egger M, Davey Smith G, Schneider M, Minder C. Bias in meta-analysis detected by a simple, graphical test. BMJ 1997;315(7109):629-34. [MEDLINE: 9310563]
Fredrickson 2010a
Higgins 2011
  • Higgins JPT, Green S. Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2008.
Macintyre 2001
RevMan 5.1 [Computer program]
  • Copenhagen: The Nordic Cochrane Centre, The Cochrane Collaboration. Review Manager (RevMan) [Computer program]. Version 5.1. Copenhagen: The Nordic Cochrane Centre, The Cochrane Collaboration, 2011.
Russon 2006
  • Russon K, Sardesai AM, Ridgway S, Whitear J, Sildown D, Boswell S, et al. Postoperative shoulder surgery initiative (POSSI): an interim report of major shoulder surgery as a day case procedure. British Journal of Anaesthesia 2006;97(6):869-73. [MEDLINE: 17065168]
Tuominen 1987
  • Tuominen M, Pitkanen M, Rosenberg PH. Postoperative pain relief and bupivacaine plasma levels during continuous interscalene brachial plexus block. Acta Anaesthesiologica Scandinavica 1987;31(4):276-8. [MEDLINE: 3591249]
White 2005
Winnie 1970
  • Winnie AP. Interscalene brachial plexus block. Anesthesia and Analgesia 1970;49(3):455-66. [MEDLINE: 5534420]

References to other published versions of this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
  4. References to other published versions of this review
Ullah 2008
  • Ullah H, Samad K, Khan FA. Continuous interscalene brachial plexus block versus parenteral analgesia for postoperative pain relief after major shoulder surgery. Cochrane Database of Systematic Reviews 2008, Issue 2. [DOI: 10.1002/14651858.CD007080]