肩関節術後の疼痛管理:塩酸ブプレノルフィンを用いた持続皮下注法

概要

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[Purpose] After shoulder surgery, postoperative pain is severe and is frequently difficult to relieve a dequately.. In this study, we examined the efficacy of continuous subcutaneous infusion of Bupurenorphine Hcl as a postoperative pain management.<BR>[patients] 30 patients who were scheduled to have an elective shoulder procedure were entered in this study.<BR>[Methods] Bupurenorphine Hcl 1.2mg and Physiological saline 20m1 filled a Baxtre Infusor and were infused for 48 hours in a precordinal subcutaneous tissue. As pain occurred, the patients could administer the postoperative analgesics to themselves with a device that they controlled in addition to the continuous infusion.<BR>[Results] The average periods required to manage pain was 2.50days for a rotator cuff tear,2.14 days for shoulder instability, and 2.00 days for the others. However, side effects like nausea and headaches, were observed in some cases.<BR>[Conclusion] Several groups have reported on the efficacy of a continuous cervical epidural block as well, this method could not be identified as the prevalent method. For shoulder surgery, continuous subcutaneous infusion, with the technique in which patients an control their own pain, it is one of the more effective postoperative pain managements.
Japan Shoulder Societyの論文