Postoperative analgesia for arthroscopic shoulder surgery : comparison between ultrasound-guided interscalene block and combined suprascapular and axillary nerve blocks
المؤلف
المصدر
Ain Shams Journal of Anesthesiology
العدد
المجلد 9، العدد 4 (31 ديسمبر/كانون الأول 2016)، ص ص. 536-541، 6ص.
الناشر
جامعة عين شمس كلية الطب قسم التخدير
تاريخ النشر
2016-12-31
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الموضوعات
الملخص EN
Arthroscopic shoulder surgery is often associated with severe postoperative pain that is often significant enough to interfere with initial recovery and rehabilitation − the pain that can be difficult to manage without large-dose opioids.
Opioids can cause nausea, vomiting, sedation, and / or failure to control pain.
Supplementing general anesthesia with a regional nerve block might improve the quality of postoperative pain relief.
The use of interscalene blockade (ISB) is gaining popularity, but it is associated with infrequent but potentially serious complications.
Combined suprascapular nerve block and axillary nerve block (SSNB+ANB) can offer a safe alternative to ISB.
Objective This study was designed to compare between ISB and SSNB+ANB in arthroscopic shoulder surgery as regards postoperative analgesia Patients and methods Sixty American Society of Anesthesiologist physical status I and II patients, aged between 18 and 40 years, scheduled for arthroscopic shoulder surgery were randomized to receive ISB or SSNB+ANB.
After performing the blocks, general anesthesia was standardized in all groups.
All the patients in the two groups were compared as regards postoperative pain assessed by the visual analog scale score at postanesthesia care unit, 4, 6, 12, and 24 h, occurrence of complications, and patient’s satisfaction.
Results In the postoperative period, there were no statistically significant differences between the two groups as regards visual analog scale and analgesic requirements.
Complications such as Horner’s syndrome, hoarseness of voice, major weakness of the upper arm, and dyspnea were recorded in the ISB group.
Conclusion For certain procedures of shoulder arthroscopic surgery, SSNB+ANB is a safe and effective alternative to ISB as postoperative analgesia.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Walid, Abd Allah. 2016. Postoperative analgesia for arthroscopic shoulder surgery : comparison between ultrasound-guided interscalene block and combined suprascapular and axillary nerve blocks. Ain Shams Journal of Anesthesiology،Vol. 9, no. 4, pp.536-541.
https://search.emarefa.net/detail/BIM-762513
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Walid, Abd Allah. Postoperative analgesia for arthroscopic shoulder surgery : comparison between ultrasound-guided interscalene block and combined suprascapular and axillary nerve blocks. Ain Shams Journal of Anesthesiology Vol. 9, no. 4 (Oct. / Dec. 2016), pp.536-541.
https://search.emarefa.net/detail/BIM-762513
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Walid, Abd Allah. Postoperative analgesia for arthroscopic shoulder surgery : comparison between ultrasound-guided interscalene block and combined suprascapular and axillary nerve blocks. Ain Shams Journal of Anesthesiology. 2016. Vol. 9, no. 4, pp.536-541.
https://search.emarefa.net/detail/BIM-762513
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 540-541
رقم السجل
BIM-762513
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر