Department of Orthopaedic Surgery, Beaumont Hospital, Beaumont Road, Dublin 9, Republic of Ireland,
Ir J Med Sci. 2009 Mar;178(1):57-60. doi: 10.1007/s11845-008-0254-8. Epub 2008 Nov 13.
Pain control is an issue which may limit patients' acceptance of day case shoulder surgery. This study prospectively examined the outcome of a protocol for day case shoulder surgery to determine if satisfactory pain relief could be achieved without regional anaesthesia.
Patients attended for pre-assessment and were informed about the procedure and day case protocol. Anaesthesia used was either a regional anaesthetic block or subacromial bursal block. Patients were discharged with a standard pain pack. All 117 operations were performed arthroscopically. Patients were contacted 24 h following surgery by an independent observer.
Based on 90 completed surveys, all patients were satisfied. Pain was well controlled in 85% of patients but 50% of the remaining patients did not take the prescribed pain pack. Problems other than pain were seen in only 4% of patients. No patients required overnight admission.
Our study indicates a very high level of patient satisfaction and good pain relief without the use of regional anaesthesia for patients undergoing shoulder surgery as a day case.
疼痛控制是一个可能限制患者接受日间肩部手术的问题。本研究前瞻性检查了日间肩部手术方案的结果，以确定是否可以在不使用区域麻醉的情况下获得满意的止痛效果。
患者接受术前评估，并了解手术和日间病例方案。使用的麻醉是区域麻醉阻滞或肩峰下囊阻滞。患者出院时携带标准止痛包。所有 117 例手术均采用关节镜进行。术后 24 小时由独立观察者联系患者。
基于 90 份完成的调查，所有患者均满意。85%的患者疼痛得到很好的控制，但仍有 50%的患者未服用规定的止痛包。只有 4%的患者出现疼痛以外的问题。没有患者需要过夜住院。
我们的研究表明，对于接受日间肩部手术的患者，不使用区域麻醉可以获得非常高的患者满意度和良好的止痛效果。
