Is it advantageous to add epinephrine to the arthroscopic infusion solution for the treatment of rotator cuff injury?
OBJECTIVE : To evaluate the use of epinephrine in arthroscopic infusion serum as a measure to improve the quality of surgical viewing during procedures for treating rotator cuff tears. METHODS: This was a prospective randomized double-blind comparative study in which 49 arthroscopic repair proce...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2013-06-01
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| Series: | Revista Brasileira de Ortopedia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000300268&lng=en&tlng=en |
| _version_ | 1827266694126501888 |
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| author | Marco Antônio de Castro Veado Bruno de Souza Teixeira Nathalia Coelho de Castro Luciano Assis Costa |
| author_facet | Marco Antônio de Castro Veado Bruno de Souza Teixeira Nathalia Coelho de Castro Luciano Assis Costa |
| author_sort | Marco Antônio de Castro Veado |
| collection | DOAJ |
| description | OBJECTIVE : To evaluate the use of epinephrine in arthroscopic infusion serum as a measure to improve the quality of surgical viewing during procedures for treating rotator cuff tears. METHODS: This was a prospective randomized double-blind comparative study in which 49 arthroscopic repair procedures on rotator cuff tears were evaluated. Patients presenting ASA I and II surgical risk were included. The patients were placed into two groups: the first with epinephrine (1 mg/L) in the infusion serum and the second with pure physiological solution. A single surgeon was responsible for the procedures, without knowledge of the medication usage. The surgeon rated his quality of viewing during the operation, on an increasing scale from 0 to 10. Interscalene block or suprascapular nerve block was chosen randomly and used in association with general anesthesia. The anesthetist issued final report relating to possible intercurrences. RESULTS: The group with epinephrine received an average score of 9.29 and the group without epinephrine received an average score of 7.16. The difference was statistically significant (p < 0.05). There was no important clinical alteration relating to use of this drug. CONCLUSION: As well as being safe, addition of epinephrine at a concentration of 1 mg/L to the infusion serum was shown to be effective for improving the visual field during arthroscopy to repair rotator cuff injuries.. |
| first_indexed | 2024-03-08T07:57:51Z |
| format | Article |
| id | doaj.art-8b09e24913664266b6cb67e4ee24d940 |
| institution | Directory Open Access Journal |
| issn | 1982-4378 |
| language | English |
| last_indexed | 2025-03-22T04:21:55Z |
| publishDate | 2013-06-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Ortopedia |
| spelling | doaj.art-8b09e24913664266b6cb67e4ee24d9402024-04-28T07:43:36ZengThieme Revinter Publicações Ltda.Revista Brasileira de Ortopedia1982-43782013-06-0148326827110.1016/j.rbo.2012.07.006S0102-36162013000300268Is it advantageous to add epinephrine to the arthroscopic infusion solution for the treatment of rotator cuff injury?Marco Antônio de Castro VeadoBruno de Souza TeixeiraNathalia Coelho de CastroLuciano Assis CostaOBJECTIVE : To evaluate the use of epinephrine in arthroscopic infusion serum as a measure to improve the quality of surgical viewing during procedures for treating rotator cuff tears. METHODS: This was a prospective randomized double-blind comparative study in which 49 arthroscopic repair procedures on rotator cuff tears were evaluated. Patients presenting ASA I and II surgical risk were included. The patients were placed into two groups: the first with epinephrine (1 mg/L) in the infusion serum and the second with pure physiological solution. A single surgeon was responsible for the procedures, without knowledge of the medication usage. The surgeon rated his quality of viewing during the operation, on an increasing scale from 0 to 10. Interscalene block or suprascapular nerve block was chosen randomly and used in association with general anesthesia. The anesthetist issued final report relating to possible intercurrences. RESULTS: The group with epinephrine received an average score of 9.29 and the group without epinephrine received an average score of 7.16. The difference was statistically significant (p < 0.05). There was no important clinical alteration relating to use of this drug. CONCLUSION: As well as being safe, addition of epinephrine at a concentration of 1 mg/L to the infusion serum was shown to be effective for improving the visual field during arthroscopy to repair rotator cuff injuries..http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000300268&lng=en&tlng=enArtroscopiaOmbroEpinefrina |
| spellingShingle | Marco Antônio de Castro Veado Bruno de Souza Teixeira Nathalia Coelho de Castro Luciano Assis Costa Is it advantageous to add epinephrine to the arthroscopic infusion solution for the treatment of rotator cuff injury? Revista Brasileira de Ortopedia Artroscopia Ombro Epinefrina |
| title | Is it advantageous to add epinephrine to the arthroscopic infusion solution for the treatment of rotator cuff injury? |
| title_full | Is it advantageous to add epinephrine to the arthroscopic infusion solution for the treatment of rotator cuff injury? |
| title_fullStr | Is it advantageous to add epinephrine to the arthroscopic infusion solution for the treatment of rotator cuff injury? |
| title_full_unstemmed | Is it advantageous to add epinephrine to the arthroscopic infusion solution for the treatment of rotator cuff injury? |
| title_short | Is it advantageous to add epinephrine to the arthroscopic infusion solution for the treatment of rotator cuff injury? |
| title_sort | is it advantageous to add epinephrine to the arthroscopic infusion solution for the treatment of rotator cuff injury |
| topic | Artroscopia Ombro Epinefrina |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000300268&lng=en&tlng=en |
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