Intra-articular analgesia following arthroscopic surgery of the shoulder

F Rodolà, Salvatore Vagnoni, S D'Avolio, Maddalena Vurchio, Daniela Maria Micci, Angelo Chierichini, Alessandro Vergari, Francesca Ciano

Risultato della ricerca: Contributo in rivistaArticolo in rivista

13 Citazioni (Scopus)


Shoulder surgery is very often followed by severe postoperative pain. Loco-regional anaesthesia has greatly contributed as a solution of this problem. Nevertheless most of surgery is still performed under general anaesthesia. In this case many different methods have been proposed in order to mitigate postoperative pain. Intra-articular administration of local anaesthetics after shoulder surgery is not yet in routinely clinical practice. In this study efficacy of intra-articular administration of Ropivacaine versus Bupivacaine has been evaluated. Analysis of results showed both drugs to share the same effectiveness within four hours postoperatively. In subsequent period (6-24 hours) Ropivacaine demonstrated to provide a statistically significant better postoperative pain relief. Furthermore Ropivacaine group patients needed postoperative analgesics to a lesser extent than Bupivacaine group. The long-losting satisfactory level of analgesia, particularly with Ropivacaine, could recommend the use of intra-articular analgesia even for day-hospital or one-day surgery procedures.
Lingua originaleEnglish
pagine (da-a)143-146
Numero di pagine4
RivistaEuropean Review for Medical and Pharmacological Sciences
Stato di pubblicazionePubblicato - 2002


  • Adult
  • Aged
  • Amides
  • Anesthetics, Local
  • Arthroscopy
  • Bupivacaine
  • Female
  • Humans
  • Injections, Intra-Articular
  • Male
  • Middle Aged
  • Pain Measurement
  • Pain, Postoperative
  • Shoulder


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