Clinical evaluation of post-operative analgesia comparing suprascapular nerve block and interscalene brachial plexus block in patients undergoing shoulder arthroscopic surgery

Journal of Clinical Orthopaedics and Trauma
A B KumaraNidhi Agarwal

Abstract

Shoulder arthroscopic surgeries have a high incidence of severe post-operative pain significant enough to interfere with recovery and rehabilitation. A regional anaesthetic technique combined with general anaesthesia reduces intra-operative requirements of anaesthesia and provides a better post-operative pain relief. As the commonly employed technique of interscalene brachial plexus block (ISB) is associated with potential serious complications, suprascapular nerve block (SSB) can be used as a safer alternative. In this prospective study, 60 ASA 1 or 2 adult patients undergoing shoulder arthroscopic surgery were randomised into two groups - ISB and SSB. In group ISB, ISB with 20 ml of 0.5% bupivacaine mixed with 75 μg clonidine was given. In the SSB group SSB was given with 15 ml of 0.5% bupivacaine with 75 μg clonidine. Pain was assessed using visual analogue scale and verbal pain scale scores and time to first rescue analgesia was noted. We used Student's t test and Chi-square/Fisher Exact test and used a statistical software to compare data. In the present study, the mean duration of analgesia was 2.53 ± 2.26 h in SSB group compared to 7.23 ± 6.83 h in group ISB (p value < 0.05). Overall rescue analgesic requirements were hi...Continue Reading

Citations

Dec 19, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Xiao Ning LiuKyu Cheol Noh
Aug 2, 2019·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Laurent BlascoFabrice Ferre
Sep 22, 2019·Regional Anesthesia and Pain Medicine·De Q TranJulián Aliste
Aug 3, 2019·Current Pain and Headache Reports·Jinlei LiNalini Vadivelu
Dec 16, 2020·The American Journal of Sports Medicine·Eoghan T HurleyKirk A Campbell
Aug 26, 2020·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Sang Hoon ChaeJae Chul Yoo

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