title: [Comparison of interscalene brachial plexus block and intra-articular local anesthetic administration on postoperative pain management in arthroscopic shoulder surgery].
abstract: OBJECTIVE
  In this study, the aim was to compare postoperative analgesia effects of the administration of ultrasound-guided interscalene brachial plexus block and intra-articular bupivacaine carried out with bupivacaine.
  
  
  METHODS
  In the first group of patients 20mL 0.25% bupivacaine and ultrasound-guided interscalene brachial plexus block (ISPB) were applied, while 20mL 0.25% bupivacaine was given via intra-articular (IA) administration to the second group patients after surgery. Patients in the third group were considered the control group and no block was performed. Patient-controlled analgesia (PCA) with morphine was used in all three groups for postoperative analgesia.
  
  
  RESULTS
  In the ISPB group, morphine consumption in the periods between 0-4, 6-12 and 12-24 postoperative hours and total consumption within 24h was lower than in the other two groups. Morphine consumption in the IA group was lower than in the control group in the period from 0 to 6h and the same was true for total morphine consumption in 24h. Postoperative VASr scores in the ISPB group were lower than both of the other groups in the first 2h and lower than the control group in the 4(th) and 6(th) hours (p<0.05). In the IA group, VASr and VASm scores in the 2(nd), 4(th) and 6(th) hours were lower than in the control group (p<0.05).
  
  
  CONCLUSIONS
  Interscalene brachial plexus block was found to be more effective than intra-articular local anesthetic injection for postoperative analgesia.
authors.affiliation: Departamento de Anestesiologia, Faculdade de Medicina, Universidade Erciyes, Kayseri, Turquia. Electronic address: raksu@erciyes.edu.tr.
authors.forename: Recep
authors.initials: R
authors.lastname: Aksu
authors.affiliation: Departamento de Anestesiologia, Faculdade de Medicina, Universidade Erciyes, Kayseri, Turquia.
authors.forename: Cihangir
authors.initials: C
authors.lastname: Biçer
authors.affiliation: Departamento de Anestesiologia, Faculdade de Medicina, Universidade Erciyes, Kayseri, Turquia.
authors.forename: Ayşe
authors.initials: A
authors.lastname: Ülgey
authors.affiliation: Departamento de Anestesiologia, Faculdade de Medicina, Universidade Erciyes, Kayseri, Turquia.
authors.forename: Adnan
authors.initials: A
authors.lastname: Bayram
authors.affiliation: Departamento de Anestesiologia, Faculdade de Medicina, Universidade Erciyes, Kayseri, Turquia.
authors.forename: Işın
authors.initials: I
authors.lastname: Güneş
authors.affiliation: Departamento de Cirurgia Ortopédica, Faculdade de Medicna, Universidade Erciyes, Kayseri, Turquia.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Güney
authors.affiliation: Departamento de Anestesiologia, Faculdade de Medicina, Universidade Erciyes, Kayseri, Turquia.
authors.forename: Mustafa Denizhan
authors.initials: MD
authors.lastname: Yıldırım
authors.affiliation: Clínica de Anestesiologia e Reanimação, Departamento de Anestesiologia, Hospital de Ensino e Pesquisa Kayseri, Kayseri, Turquia.
authors.forename: Günhan
authors.initials: G
authors.lastname: Gökahmetoğlu
authors.affiliation: Departamento de Anestesiologia, Faculdade de Medicina, Universidade Erciyes, Kayseri, Turquia.
authors.forename: Karamehmet
authors.initials: K
authors.lastname: Yıldız
keywords: Anestésico local intra‐articular; Arthroscopic shoulder surgery; Bloqueio do plexo braquial por via interescalênica guiado por ultrassom; Bupivacaine; Bupivacaína; Cirurgia artroscópica do ombro; Intra‐articular local anesthetic; Ultrasound‐guided interscalene brachial plexus block