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Does the use of periarticular anesthetic cocktail provide adequate pain control following shoulder arthroplasty?

Does the use of periarticular anesthetic cocktail provide adequate pain control following shoulder arthroplasty?

Elizabeth A Klag, Kelechi R Okoroha, Noah A Kuhlmann, Gabriel Sheena, Chaoyang Chen, Stephanie J Muh

Interscalene nerve block and liposomal bupivacaine have been found to provide adequate pain control following shoulder arthroplasty. We hypothesized that local infiltration of a periarticular cocktail would provide equivalent pain control compared to interscalene nerve block and liposomal bupivacaine.

Eighty-seven patients undergoing primary shoulder arthroplasty were treated with local infiltration of a periarticular cocktail (200 mg of 0.5% ropivacaine, 1 mg epinephrine, and 30 mg ketorolac), local infiltration of liposomal bupivacaine, or preoperative interscalene nerve block. The outcomes of the study were postoperative visual analog scale scores, opioid consumption, length of stay, and complications.

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