{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T11:44:46Z","timestamp":1792669486295,"version":"4.5.0"},"reference-count":43,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:00:00Z","timestamp":1792627200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:00:00Z","timestamp":1792627200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100011955","name":"European Society of Regional Anaesthesia and Pain Therapy","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100011955","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia"],"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Total shoulder arthroplasty is associated with moderate\u2010to\u2010severe postoperative pain. The aim of this systematic review was to assess the available literature and provide PROSPECT (PROcedure SPECific Postoperative Pain ManagemenT) recommendations for optimal pain management after total shoulder arthroplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic review utilising PROSPECT methodology was performed. Randomised controlled trials and systematic reviews published in the English language that assessed postoperative pain using analgesic, anaesthetic and surgical interventions were identified from databases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 1809 articles identified, 30 randomised controlled trials and seven systematic reviews\/meta\u2010analyses met our inclusion criteria. Interventions that improved postoperative pain relief included: paracetamol and non\u2010steroidal anti\u2010inflammatory drugs; dexamethasone; interscalene brachial plexus block and, as an alternative, local infiltration analgesia. Conflicting evidence was found for continuous interscalene brachial plexus block (catheter) or liposomal bupivacaine for interscalene block or local infiltration analgesia. No evidence was found for a specific surgical technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>In the absence of contraindication, the analgesic regimen should include: paracetamol; a non\u2010steroidal anti\u2010inflammatory drug administered peri\u2010operatively and continued postoperatively; intravenous dexamethasone (8\u201310\u2009mg); and postoperative opioids for rescue analgesia. As a regional technique, an interscalene brachial plexus block with a single\u2010bolus injection of long\u2010acting local anaesthetic (bupivacaine or ropivacaine), but not liposomal bupivacaine, should be provided. In case of contraindications or absence of expertise, local infiltration analgesia is a reasonable alternative. Further studies are required to investigate the analgesic benefit of a continuous infusion for the interscalene brachial plexus block.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/anae.70427","type":"journal-article","created":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T11:30:32Z","timestamp":1792668632000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Pain management after total shoulder arthroplasty: a\u00a0systematic review and procedure\u2010specific postoperative pain management (\n                    <scp>PROSPECT<\/scp>\n                    ) recommendations"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-5812-1629","authenticated-orcid":false,"given":"Iliana","family":"Mrazek","sequence":"first","affiliation":[{"name":"Department of Anesthesiology University Hospital of Lausanne and University of Lausanne  Lausanne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7298-9407","authenticated-orcid":false,"given":"Neel","family":"Desai","sequence":"additional","affiliation":[{"name":"Guy's and St Thomas' NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1415-8143","authenticated-orcid":false,"given":"Axel R.","family":"Sauter","sequence":"additional","affiliation":[{"name":"Division of Emergencies and Critical Care, Department of Anaesthesia and Intensive Care Medicine, Oslo University Hospital, Oslo, Norway and Department of Anesthesiology, Bern University Hospital Inselspital University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-6754-8237","authenticated-orcid":false,"given":"Melissa","family":"Wust","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology University Hospital of Lausanne and University of Lausanne  Lausanne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1791-4012","authenticated-orcid":false,"given":"Girish P.","family":"Joshi","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Management University of Texas Southwestern Medical Center  Dallas TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4484-0787","authenticated-orcid":false,"given":"Christopher L.","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Hospital for Special Surgery\/Weill Cornell Medicine  New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2571-8812","authenticated-orcid":false,"given":"Jolanda","family":"Elmers","sequence":"additional","affiliation":[{"name":"Medical Library University Hospital of Lausanne and University of Lausanne  Lausanne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6432-1311","authenticated-orcid":false,"given":"Eric","family":"Albrecht","sequence":"additional","affiliation":[{"name":"Regional Anesthesia and Clinical Research, Department of Anesthesiology University Hospital of Lausanne and University of Lausanne  Lausanne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the PROSPECT Working Group of the European Society of Regional Anaesthesia and Pain Therapy 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