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Efforts to decrease pain levels and opioid use after arthroscopic rotator cuff repair have led to the expansion of multimodal analgesia techniques. An interscalene brachial plexus block (ISBPB)\u2013\u201cplus\u201d technique adds a subacromial space injection and \u201cblind\u201d (i.e., without imaging) suprascapular and axillary nerve blocks. Recent research has shown that the ISBPB\u2010plus technique results in less opioid consumption at 48 hours compared with an isolated ISBPB and that both techniques show similar patient satisfaction and postoperative pain scores. Although the optimal multimodal strategy has yet to be determined for specific surgical treatments, decreased opioid consumption is a high priority. Multiple patient factors also require consideration, including severity of pathology, management of depression, preoperative patient education, and cognitive\u2010behavioral therapy. Moreover, surgical technique modifications, cryotherapy, and transcutaneous electrical nerve stimulation may provide pain\u2010reduction benefits.<\/jats:p>","DOI":"10.1016\/j.arthro.2024.09.017","type":"journal-article","created":{"date-parts":[[2024,9,19]],"date-time":"2024-09-19T12:07:43Z","timestamp":1726747663000},"page":"1299-1301","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"title":["<i>Editorial Commentary:<\/i>\n                    Multiple Factors, Including Multimodal Anesthesia, Can Reduce Opioid Requirements After Rotator Cuff Repair"],"prefix":"10.1002","volume":"41","author":[{"given":"Justin J.","family":"Greiner","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,9,18]]},"reference":[{"key":"e_1_2_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2024.07.029"},{"key":"e_1_2_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2021.09.011"},{"key":"e_1_2_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-015-3902-3"},{"key":"e_1_2_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2019.11.018"},{"key":"e_1_2_3_6_2","doi-asserted-by":"publisher","DOI":"10.1213\/01.ane.0000436607.40643.0a"},{"key":"e_1_2_3_7_2","doi-asserted-by":"publisher","DOI":"10.1136\/rapm-2023-104681"},{"key":"e_1_2_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2021.08.012"},{"key":"e_1_2_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2021.03.132"},{"key":"e_1_2_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2019.01.008"},{"key":"e_1_2_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2021.11.028"},{"key":"e_1_2_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2023.04.001"},{"key":"e_1_2_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2022.03.032"},{"key":"e_1_2_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2017.05.030"},{"key":"e_1_2_3_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000001723"},{"key":"e_1_2_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2015.02.004"},{"key":"e_1_2_3_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2024.06.010"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806324007333?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806324007333?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2024.09.017","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2024.09.017","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2024.09.017","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:06:57Z","timestamp":1773565617000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2024.09.017"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,18]]},"references-count":16,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["10.1016\/j.arthro.2024.09.017"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2024.09.017","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,18]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Editorial Commentary: Multiple Factors, Including Multimodal Anesthesia, Can Reduce Opioid Requirements After Rotator Cuff Repair","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy: The Journal of Arthroscopic & Related Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2024.09.017","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2024.07.029","name":"associatedlink","label":"CrossRef DOI link to the associated document"},{"value":"simple-article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2024 by the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}