PMID- 28476369
OWN - NLM
STAT- MEDLINE
DCOM- 20190319
LR  - 20190319
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 33
IP  - 5
DP  - 2017 May
TI  - Editorial Commentary: Pain and Stress Response After Shoulder Arthroscopic 
      Rotator Cuff Repair: Does Interscalene Block Make a Clinically Important 
      Difference?
PG  - 927-928
LID - S0749-8063(17)30059-2 [pii]
LID - 10.1016/j.arthro.2017.01.013 [doi]
AB  - Pain control after arthroscopic rotator cuff repair will invariably encompass a 
      multimodal approach which will include, in some form, an anesthetic block. The 
      authors of "Effects of a Single-Dose Interscalene Block on Pain and Stress 
      Biomarkers in Patients Undergoing Arthroscopic Rotator Cuff Repair: A Randomized 
      Controlled Trial" demonstrate better pain control and a decrease in levels of the 
      stress biomarker insulin with the use of a single-dose interscalene block (SISB) 
      and general anesthesia compared to general anesthesia alone. But a closer look at 
      the minimal clinically important difference (MCID) becomes critically important 
      when interpreting the results as the effect may be less than anticipated and the 
      "rebound effect" plays an important role. The notoriously painful rotator cuff 
      repair may need further evaluation beyond the first several days when looking 
      from the patients' perspectives to impact overall satisfaction and utility.
CI  - Copyright (c) 2017 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Rossi, Michael J
AU  - Rossi MJ
LA  - eng
PT  - Comment
PT  - Editorial
PL  - United States
TA  - Arthroscopy
JT  - Arthroscopy : the journal of arthroscopic & related surgery : official 
      publication of the Arthroscopy Association of North America and the International 
      Arthroscopy Association
JID - 8506498
RN  - 0 (Anesthetics, Local)
RN  - 0 (Biomarkers)
SB  - IM
CON - Arthroscopy. 2017 May;33(5):918-926. PMID: 27988164
MH  - Anesthetics, Local
MH  - Arthroscopy
MH  - Biomarkers
MH  - Humans
MH  - Pain, Postoperative
MH  - Prospective Studies
MH  - Rotator Cuff
MH  - *Rotator Cuff Injuries
MH  - *Shoulder
EDAT- 2017/05/10 06:00
MHDA- 2019/03/20 06:00
CRDT- 2017/05/07 06:00
PHST- 2016/12/29 00:00 [received]
PHST- 2017/01/08 00:00 [revised]
PHST- 2017/01/19 00:00 [accepted]
PHST- 2017/05/07 06:00 [entrez]
PHST- 2017/05/10 06:00 [pubmed]
PHST- 2019/03/20 06:00 [medline]
AID - S0749-8063(17)30059-2 [pii]
AID - 10.1016/j.arthro.2017.01.013 [doi]
PST - ppublish
SO  - Arthroscopy. 2017 May;33(5):927-928. doi: 10.1016/j.arthro.2017.01.013.