Patient-controlled interscalene analgesia with ropivacaine after major shoulder surgery: PCIA vs PCA.

@article{Borgeat1998PatientcontrolledIA,
  title={Patient-controlled interscalene analgesia with ropivacaine after major shoulder surgery: PCIA vs PCA.},
  author={Alain Borgeat and Edwin T. Tewes and Nicola Biasca and Christian Gerber},
  journal={British journal of anaesthesia},
  year={1998},
  volume={81 4},
  pages={
          603-5
        }
}
We have compared the efficacy of patient-controlled interscalene analgesia (PCIA) using ropivacaine with patient-controlled analgesia (PCA) using nicomorphine in 60 patients (n = 30 in each group), in a prospective, randomized study. In both groups, all patients received interscalene block with 0.75% ropivacaine before induction of anaesthesia. Six hours after interscalene block, patients in group PCIA received continuous infusion of 0.2% ropivacaine at a rate of 5 ml h-1 with a bolus dose of 3… 
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Patient-controlled Interscalene Analgesia with Ropivacaine 0.2%Versus Patient-controlled Intravenous Analgesia after Major Shoulder Surgery: Effects on Diaphragmatic and Respiratory Function
TLDR
The use of PCIA or PCIVA techniques to provide analgesia after major shoulder surgery is associated with similar effects on respiratory function and the PCIA technique provided better pain control, a lower incidence of side effects, and a higher degree of patient satisfaction.
Patient-controlled interscalene analgesia versus patient-controlled intravenous analgesia in postoperative analgesia after upper extremity surgery
TLDR
The PCISA technique was uncomplicated and provided better pain relief than PCIVA in postoperative analgesia and patient satisfaction was greater in the PCISA group (P<0.05).
Patient-Controlled Interscalene Analgesia With Ropivacaine 0.2% versus Bupivacaine 0.15% After Major Open Shoulder Surgery: The Effects on Hand Motor Function
TLDR
It is concluded that the use of the patient-controlled interscalene analgesia technique with ropivacaine 0.2% or bupivacs 0.15% provides a similar pain relief after major shoulder surgery, however, ropavacaine is associated with better preservation of strength in the hand and less paresthesia in the fingers.
Continuous Interscalene Analgesia with Ropivacaine 2 mg/ml after Major Shoulder Surgery
TLDR
A 48-h continuous interscalene infusion of 6 or 9 ml/h ropivacaine, 2 mg/ml, started 6 h after an initial inter scalene block, provided satisfactory postoperative pain relief after major shoulder surgery and was well tolerated.
Postoperative Analgesia by Femoral Nerve Block With Ropivacaine 0.2% After Major Knee Surgery: Continuous Versus Patient-Controlled Techniques
TLDR
PCFA resulted in a lower consumption of ropivacaine (toxic and financial impact), and PCFA + Inf does not improve postoperative analgesia, both of which provided effective pain relief.
Tramadol and 0.5% levobupivacaine for single-shot interscalene block: effects on postoperative analgesia in patients undergoing shoulder arthroplasty.
TLDR
The addition of tramadol to the local anaesthetic solution administered for MIB provided a longer duration of analgesia compared with placebo and i.m tramadl administration in patients undergoing arthroscopic surgery for rotator cuff tear.
A comparison of patient-controlled subacromial and i.v. analgesia after open acromioplasty surgery.
  • A. Eroğlu
  • Medicine
    British journal of anaesthesia
  • 2006
TLDR
The PCA techniques using subacromial ropivacaine or fentanyl i.v. provided similar and adequate pain relief and minimal side-effects after open acromioplasty surgery.
A Clinical Comparison of Equal Concentration and Volume of Ropivacaine and Bupivacaine for Interscalene Brachial Plexus Anesthesia and Analgesia in Shoulder Surgery
Interscalene Perineural Ropivacaine Infusion: A Comparison of Two Dosing Regimens for Postoperative Analgesia
Interscalene versus subacromial continuous infusion of ropivacaine after arthroscopic acromioplasty: a randomized controlled trial.
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References

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The PCIA technique was uncomplicated and provided better pain relief than PCA during the first 18 h after operation, and patient satisfaction was superior in the PCIA group.
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TLDR
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