Purpose: This study was initiated to evaluate the effect of a pain control
infusion catheter in managing postoperative pain. Type of Study: In a prosp
ective, randomized trial, 62 consecutive patients undergoing arthroscopic s
ubacromial decompression had an indwelling pain control infusion catheter p
laced at the operative site. Materials and Methods: Thirty-one patients rec
eived 0.25% bupivacaine and 31 patients received saline infusions, each at
a constant rate of 2 mL per hour. Patients evaluated their pain by visual a
nalog scale, and also tabulated the amount of narcotic and nonnarcotic medi
cation used each day in the first week of surgery. Results: There was a sta
tistically significant difference in pain in all parameters tested in the b
upivacaine group as compared with the saline control group (P < .05). Concl
usions: The bupivacaine pain control infusion pump is an effective means of
decreasing postoperative pain.