The control of perioperative pain is necessary to avoid worst surgical suites after shoulder arthroplasty. Interscalene block (ISB) with or without catheter is the gold standard in postoperative analgesia after shoulder prosthesis but neurological or respiratory adverse events can occured . The intra-articular local (IAL) anesthetic infiltration with catheter is a simple procedure. Its efficacy was proved in knee and hip arthroplasty but not in shoulder arthroplasty. Our hypothesis was the IAL is as effective as ISB in early postoperative analgesia after shoulder arthroplasty.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
98
intra-articular local anesthetic infiltration with 20 ml of Ropivacaine 2 % and catheter
inter-scalene block with 20 ml of Ropivacaine 2 % and catheter
20 ml of Ropivacaine 2 %
Polyclinique du Plateau
Bezons, France
Hospital Ambroise Paré Paris
Boulogne-Billancourt, France
Clinique Claude Bernard
Ermont, France
Clinique Jules Verne
Nantes, France
Institut Mutualiste Montsouris
Paris, France
Mean postoperative pain
Time frame: during the 48 first hours
Complications dues to anesthesia procedure
Time frame: At 12 hours after surgery
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