Efficacy of low dose Interscalene Brachial Plexus Block on post anesthesia recovery parameters after Shoulder Surgery

Published on Jan 1, 2011
Ata Mahmoodpoor17
Estimated H-index: 17
,
Naghi Abedini4
Estimated H-index: 4
+ 2 AuthorsRamin Baradaran1
Estimated H-index: 1
Sources
Abstract
Objective: Excellent postoperative pain control plays central role in the outcome of open shoulder surgery which provides early rehabilitation and accelerates functional recuperation. Methodology: Fifty patients who were candidate for elective shoulder surgery were enrolled in this study. Patients were randomized to two 25-patient groups. One group received morphin sulfate and in the other group small volume Interscalene Brachial Plexus Block (ISBPB) was performed. Pain severity, patient satisfaction scores and post anesthesia recovery parameters were assessed. Results: Patients satisfaction score was significantly improved in ISBPB (P<0.001). Agitation in ISBPB group was significantly reduced compared to the other group (P: 0.009). Pain severity score was significantly reduced with ISBPB (P=0.001). ISBPB did not have any side effects on post anesthesia recovery parameters. Conclusion: Small volume ISBPB may be considered as a suitable technique for reducing intermediate postoperative pain without any effect on post anesthesia care unit parameters and stay in patients undergoing open shoulder surgery.
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Abstract Background Interscalene brachial plexus block (ISBPB) is an effective nerve block for shoulder surgery. However, a 100% incidence of phrenic nerve palsy limits the application of ISBPB for patients with limited pulmonary reserve. We examined the incidence of phrenic nerve palsy with a low-volume ISBPB compared with a standard-volume technique both guided by ultrasound. Methods Forty patients undergoing shoulder surgery were randomized to receive an ultrasound-guided ISBPB of either 5 or...
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In this prospective, randomized, blinded study, we assessed the analgesic efficacy of interscalene brachial plexus block (ISB), suprascapular nerve block (SSB), and intraarticular local anesthetic (IA) after arthroscopic acromioplasty. One-hundred-twenty patients were divided into 4 groups of 30. In Group SSB, the block was performed with 10 mL of 0.25% bupivacaine. In Group IA, 20 mL of 0.25% bupivacaine was administered intraarticularly at the end of surgery. In Group ISB, the block was perfor...
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