Effect of a Sleep Aid in Analgesia after Arthroscopic Rotator Cuff Repair
- Author(s)
- Chul Hyun Cho; Si Wook Lee; Young Kuk Lee; Hong Kwan Shin; Il seon Hwang
- Keimyung Author(s)
- Cho, Chul Hyun; Lee, Si Wook; Hwang, Il Seon
- Department
- Dept. of Orthopedic Surgery (정형외과학)
Dept. of Pathology (병리학)
- Journal Title
- Yonsei Medical Journal
- Issued Date
- 2015
- Volume
- 56
- Issue
- 3
- Abstract
- Purpose: The aim of this study was to evaluate the effects and safety of a sleep aid
for postoperative analgesia in patients undergoing arthroscopic rotator cuff repair.
Materials and Methods: Seventy-eight patients were prospectively assigned to either
the zolpidem group (multimodal analgesia+zolpidem; 39 patients) or the control
group (multimodal analgesia; 39 patients). Self-rated pain levels were assessed
twice a day using a visual analog scale (VAS). The need for additional rescue analgesic,
duration of functional recovery, and adverse effects were assessed for the first
5 days after surgery. Results: The mean number of times that additional rescue analgesic
was required during 5 days after surgery was 2.1±2.0 in the zolpidem group
and 3.3±2.8 in the control group, a significant difference. There were no significant
differences between the two groups in mean VAS pain scores during the first 5 days
after surgery, although the zolpidem group had lower VAS pain scores than the control
group. Additionally, there were no significant differences in duration of functional
recovery and adverse effects between the two groups. Conclusion: The use
of zolpidem for analgesia after arthroscopic rotator cuff repair provided a significant
reduction in the need for rescue analgesic without increasing adverse effects. Nevertheless,
mean VAS pain scores during the first 5 days after surgery did not differ
between the zolpidem group and the control group.
Key Words: Rotator cuff, arthroscopic repair, postoperative analgesia, sleep aid,
zolpidem
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