{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T10:19:01Z","timestamp":1782296341027,"version":"3.54.5"},"reference-count":33,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2023,2,27]],"date-time":"2023-02-27T00:00:00Z","timestamp":1677456000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Shoulder &amp; Elbow"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Single injection ropivacaine interscalene anesthesia (ISA) is frequently used in Latarjet reconstruction to enhance post-operative analgesia. A potential limitation is the occurrence of severe rebound pain on block resolution. We investigated the effect of intravenous magnesium on post-operative pain, particularly at the transition of block resolution to multimodal analgesia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Elective patients ( n\u2009=\u200940) having Latarjet open shoulder reconstruction were randomised to receive either intravenous magnesium sulphate 50 mg\/kg (M) or normal saline (S) before induction. Post-operatively, a standardised analgesic regimen was used, and post-operative pain was recorded using a verbal numerical rating assessment (VNRA) score. Requirement for injected opioid analgesia was recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>ISA provided longstanding analgesia in all patients with block duration slightly prolonged in the magnesium group (16.7(1.0) (S), 17.8(1.3) h (M), p\u2009=\u20090.049). Magnesium resulted in less rebound pain following ISA resolution (VNRA 4.0 (0.6) M, 6.2 (0.8) S, p\u2009=\u20090.03) and lower pain intensity at 24 h. Four patients had nausea and two required rescue opioid injection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Magnesium before Latarjet surgery results in less rebound pain following ropivacaine block and improves post-operative analgesia. Magnesium may be indicated in major upper limb surgery, where significant pain intensity is anticipated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>Treatment study; Randomised blinded; Level 2.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17585732231158805","type":"journal-article","created":{"date-parts":[[2023,3,5]],"date-time":"2023-03-05T01:50:35Z","timestamp":1677981035000},"page":"46-52","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Effect of intravenous magnesium on post-operative pain following Latarjet shoulder reconstruction"],"prefix":"10.1177","volume":"16","author":[{"given":"Paul","family":"Soeding","sequence":"first","affiliation":[{"name":"FANZCA Department of Anaesthesia and Pain Medicine, Royal Melbourne Hospital, Parkville, Australia"},{"name":"Department of Pharmacology and Therapeutics, The University of Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Morris","sequence":"additional","affiliation":[{"name":"The University of Melbourne, Victoria, Australia"},{"name":"Department of Anaesthesia and Pain Medicine, Royal Melbourne Hospital, Parkville, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Soeding","sequence":"additional","affiliation":[{"name":"Department of Preventative Medicine, The Alfred Centre Monash University, Prahran, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3142-5891","authenticated-orcid":false,"given":"Gregory","family":"Hoy","sequence":"additional","affiliation":[{"name":"Melbourne Orthopaedic Group, Monash University Department of Surgery, Windsor, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,2,27]]},"reference":[{"key":"bibr1-17585732231158805","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.2009.06231.x"},{"key":"bibr2-17585732231158805","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516667906"},{"key":"bibr3-17585732231158805","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200505000-00020"},{"key":"bibr4-17585732231158805","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aeh071"},{"key":"bibr5-17585732231158805","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000000688"},{"key":"bibr6-17585732231158805","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000000660"},{"key":"bibr7-17585732231158805","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200611000-00022"},{"key":"bibr8-17585732231158805","doi-asserted-by":"publisher","DOI":"10.1213\/01.ane.0000436607.40643.0a"},{"key":"bibr9-17585732231158805","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.2010.06385.x"},{"key":"bibr10-17585732231158805","doi-asserted-by":"publisher","DOI":"10.1097\/AAP.0b013e31823ba9d2"},{"key":"bibr11-17585732231158805","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.2012.07335.x"},{"key":"bibr12-17585732231158805","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/89.5.711"},{"key":"bibr13-17585732231158805","doi-asserted-by":"publisher","DOI":"10.1016\/0304-3959(91)90100-C"},{"key":"bibr14-17585732231158805","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(84)90572-6"},{"key":"bibr15-17585732231158805","doi-asserted-by":"publisher","DOI":"10.1111\/anae.14796"},{"key":"bibr16-17585732231158805","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e31822c9a59"},{"key":"bibr17-17585732231158805","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aew466"},{"key":"bibr18-17585732231158805","doi-asserted-by":"publisher","DOI":"10.1097\/AAP.0000000000000817"},{"key":"bibr19-17585732231158805","doi-asserted-by":"crossref","first-page":"64","DOI":"10.4103\/2277-9175.125845","volume":"3","author":"Rezae 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