General anesthesia versus combined interscalene nerve/superficial cervical plexus block in arthroscopic rotator cuff repair: A randomized prospective control trial
Küçük Resim Yok
Tarih
2023
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Lippincott Williams & Wilkins
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Background: In this study, interscalene brachial plexus block (ISB) with superficial cervical plexus block added and general anesthesia (GA) application were evaluated in terms of intraoperative hemodynamics, operative time and postoperative analgesia need in patients who underwent rotator cuff tear repair. Methods: 70 patients aged between 18 and 75 years were included in this prospective study. Arthroscopic rotator cuff tear repair surgery was performed in all patients. The patients were randomized into 2 groups, namely Group ISB who received a combination of superficial cervical plexus block added to the Interscalene Nerve Block, and Group GA, for those who received GA. Duration of operation, waiting times, intraoperative hemodynamic data, postoperative visual analog scale (VAS), analgesic requirement, as well as patient and surgeon satisfaction levels, were compared between the 2 groups. Results: While VAS values at the post-anesthesia care unit were lower in ISB group at 2 and 24 hours (P<.05), there was no significant difference between VAS values measured at 6th and 12th hours (P >=.05). In the GA group, postoperative morphine and diclofenac consumption was higher, and rescue analgesia was needed earlier (P<.05). The hospital stay was shorter (P<.05), and surgeon and patient satisfaction were higher in the ISB group (P<.05). Conclusion subsections: In rotator cuff tear repair anesthesia, ISB with superficial cervical plexus block provides adequate intraoperative anesthesia, low postoperative VAS level, reduced and deferred consumption of opioids and nonsteroidal anti-inflammatory drugs, higher patient and surgeon satisfaction and early discharge.
Açıklama
Anahtar Kelimeler
brachial plexus, interscalene block, postoperative analgesia, rotator cuff, shoulder arthroscopy, superficial cervical block
Kaynak
Medicine
WoS Q Değeri
Q2
Scopus Q Değeri
Q3
Cilt
102
Sayı
42
