General anesthesia versus combined interscalene nerve/superficial cervical plexus block in arthroscopic rotator cuff repair: A randomized prospective control trial

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dc.authoridKilbasanli, Seval/0000-0003-4052-9593
dc.contributor.authorKilbasanli, Seval
dc.contributor.authorKacmaz, Mustafa
dc.date.accessioned2024-11-07T13:25:16Z
dc.date.available2024-11-07T13:25:16Z
dc.date.issued2023
dc.departmentNiğde Ömer Halisdemir Üniversitesi
dc.description.abstractBackground: 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.
dc.identifier.doi10.1097/MD.0000000000035522
dc.identifier.issn0025-7974
dc.identifier.issn1536-5964
dc.identifier.issue42
dc.identifier.pmid37861492
dc.identifier.scopus2-s2.0-85174748805
dc.identifier.scopusqualityQ3
dc.identifier.urihttps://doi.org/10.1097/MD.0000000000035522
dc.identifier.urihttps://hdl.handle.net/11480/14607
dc.identifier.volume102
dc.identifier.wosWOS:001140501600019
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofMedicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241106
dc.subjectbrachial plexus
dc.subjectinterscalene block
dc.subjectpostoperative analgesia
dc.subjectrotator cuff
dc.subjectshoulder arthroscopy
dc.subjectsuperficial cervical block
dc.titleGeneral anesthesia versus combined interscalene nerve/superficial cervical plexus block in arthroscopic rotator cuff repair: A randomized prospective control trial
dc.typeArticle

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