Dexamethasone added to levobupivacaine prolongs the duration of interscalene brachial plexus block and decreases rebound pain after arthroscopic rotator cuff repair.

• 資料種別: 博士論文
• ISSN: 1058-2746
• タイトル: Dexamethasone added to levobupivacaine prolongs the duration of interscalene brachial plexus block and decreases rebound pain after arthroscopic rotator cuff repair.
• 巻次・部編番号: 29 9
• 著者・編者: Morita, Shuzo; Oizumi, Naomi; Suenaga, Naoki; Yoshioka, Chika; Yamane, Shintaro; Tanaka, Yasuhito
• 著者標目: Morita, Shuzo; Oizumi, Naomi; Suenaga, Naoki; Yoshioka, Chika; Yamane, Shintaro; Tanaka, Yasuhito
• 出版事項: Elsevier
• 出版年月日等: 2020-09; 29 9
• 出版年（W3CDTF）: 2020-09
• 並列タイトル等: 鏡視下腱板修復術の斜角筋間腕神経叢ブロックにおいて、レボブピバカインにデキサメサゾンを加えると鎮痛時間が延長するのみならず、術後リバウンドペインが減少する。
• タイトル（掲載誌）: Journal of shoulder and elbow surgery
• 授与機関名: 奈良県立医科大学
• 授与年月日: 2020-12-24
• 授与年月日（W3CDTF）: 2020-12-24
• 報告番号: 甲第759号
• 学位: 博士（医学）
• 博論授与番号: 甲第759号
• 本文の言語コード: und
• 件名標目: Interscalene brachial plexus block; dexamethasone; arthroscopic rotator cuff repair; postoperative analgesia; rebound pain; shoulder surgery
• 対象利用者: 一般
• 一般注記: type:Thesis; Background: It has been reported that the addition of dexamethasone to interscalene brachial plexus block (ISBPB) prolongs the duration of the block effect. However, there have been no studies focusing on the effects of dexamethasone on rebound pain after the block effect has worn off. The aim of this study was to investigate the effect on postoperative pain when dexamethasone was added to ISBPB for arthroscopic rotator cuff repair (ARCR). Methods: In this multicenter, single-blinded, and randomized controlled study, 54 patients (33 males, 21 females) who received ARCR were randomly assigned to group L (ISBPB with 20 cc of 0.25% levobupivacaine; 21 patients) or group LD (ISBPB with 20 cc of 0.25% levobupivacaine + 3.3 mg dexamethasone; 33 patients). The primary outcome was the visual analog scale (VAS) for pain after the block effect had worn off. Secondary outcomes were the duration of analgesia, the time to the first request for additional analgesic, the number of additional doses of analgesic, and complications. Results: The VAS scores on postoperative days 0 and 1 were significantly lower in group LD than group L (P = .005, .035). This indicated that the rebound pain was relieved in group LD. After postoperative day 1, there was no significant difference in VAS score (P = .43 and .19 for days 2 and 3, respectively). The duration of analgesia was significantly longer in group LD than group L (P < .001). The time to the first request for additional analgesic was significantly longer in group LD than group L (P < .001). The number of additional doses of analgesic was significantly lower in group LD (P < .001). Conclusion: In ARCR, the addition of dexamethasone to levobupivacaine not only prolongs the duration of ISBPB but also relieves rebound pain after the block effect wears off.; 博士（医学）・甲第759号・令和2年12月24日; Copyright © 2020 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.; identifier:Journal of shoulder and elbow surgery Vol.29 No.9 p.1751-1757 (2020 Sep); identifier:10582746; identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/3817; identifier:Journal of shoulder and elbow surgery, 29(9): 1751-1757
• DOI: info:doi/10.1016/j.jse.2020.04.019; https://doi.org/info:doi/10.1016/j.jse.2020.04.019
• 国立国会図書館永続的識別子: info:ndljp/pid/11674100; https://dl.ndl.go.jp/pid/11674100
• コレクション（共通）: 障害者向け資料
• コレクション（障害者向け資料：レベル1）: テキストデータ
• コレクション（個別）: 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• 収集根拠: 博士論文（自動収集）
• 受理日（W3CDTF）: 2021-05-23T18:24:43+09:00
• 記録形式（IMT）: application/pdf
• オンライン閲覧公開範囲: 国立国会図書館内限定公開
• デジタル化資料送信: 図書館・個人送信対象外
• 遠隔複写可否（NDL）: 可
• 掲載誌（URI）: http://hdl.handle.net/10564/3817
• 連携機関・データベース: 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp

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