Influence of single shot and continuous peripheral nerve block on opioid consumption and perioperative pain management in patients undergoing total elbow arthroplasty
© 2025 The Authors.
| Publié dans: | JSES international. - 2020. - 9(2025), 4 vom: 21. Juli, Seite 1251-1256 |
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| Auteur principal: | |
| Autres auteurs: | , , , , , |
| Format: | Article en ligne |
| Langue: | English |
| Publié: |
2025
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| Accès à la collection: | JSES international |
| Sujets: | Journal Article Elbow osteoarthritis Nerve block catheter Opioids Perioperative pain management Peripheral nerve block Regional anesthesia Retrospective study Total elbow arthroplasty |
| Résumé: | © 2025 The Authors. Background: Peripheral nerve block (PNB) is effective for pain management after shoulder arthroplasty. Our study investigated the impact of regional anesthesia on perioperative pain management following total elbow arthroplasty (TEA). We aimed to determine whether single shot anesthesia (SSA) or continuous peripheral nerve block (CPNB) reduces opioid usage and improves postoperative pain levels compared to general anesthesia alone Methods: A retrospective analysis evaluated 78 patients who underwent TEA for perioperative pain management, including nonopioid, opioid medications, and on-demand opioid use. Postoperative pain was assessed using the Numeric Rating Scale (NRS). Patients were divided into 3 groups based on anesthesia type: Group 1 received a PNB intraoperatively and a CPNB; Group 2 received SSA; and Group 3 underwent general anesthesia alone. Pain management and perception were compared over 5 days postoperatively using the Mann-Whitney U test Results: Group 1 had significantly lower intraoperative opioid usage compared to group 3 (P = .0423) and required fewer opioids postoperatively (P = .0114). Group 1 also reported lower NRS scores, indicating better pain relief (P < .0001). Group 2 showed a trend toward reduced intraoperative (P = .4372) and postoperative opioid (P = .1107) use compared to group 3, although with no statistical significance. Group 2 had significantly lower NRS scores than group 3 (P = .0023) Conclusion: In this first study on PNB and CPNB in TEA, we showed that CPNB reduces perioperative opioid use and improves postoperative pain. SSA offers no significant advantage over CPNB in reducing opioid usage. Avoiding systemic opioids and their adverse effects is particularly beneficial for elderly patients |
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| Description: | Date Completed 17.09.2025 Date Revised 19.09.2025 published: Electronic-eCollection Citation Status PubMed-not-MEDLINE |
| ISSN: | 2666-6383 |
| DOI: | 10.1016/j.jseint.2025.03.003 |