| Autor: |
Elsayed Abdullatif, Ayman Ahmed, Hussein, Mostafa Mansour, Mohamed, Mohamed Abdelwareth, Ezzat Shahrour, Mohamed Tarek Mohamed |
| Zdroj: |
QJM: An International Journal of Medicine; 2024 Supplement, Vol. 117, pii33-ii33, 1p |
| Abstrakt: |
Background: Severe intraoperative and postoperative pain associated with arthroscopic shoulder surgery has a high incidence reaching up to 45%; it is often significant enough to interfere with initial recovery and rehabilitation. This pain is difficult to manage without large doses of opioids. Objective: To compare Interscalene nerve block ISNB with the suprascapular nerve and Intra-articular injection (SSNBþIAI) for postoperative analgesia after shoulder arthroscopic surgery guided with ultrasound. Patients and Methods: This is a prospective, randomized, double-blinded study, that was carried out in Ain Shams University Educational Hospitals, through a period of six months. Results: The ISNB and SSNBþIAI have the same efficacy for postoperative analgesia after shoulder arthroscopy done for different purposes. A non-significant difference in patient satisfaction assessed 24-hour post-operative, with p-value 0.054. There is a significant difference between the two groups regarding the reported complications, with a p-value of 0.017. Highly significant difference between the two groups regarding phrenic nerve paresis which is assessed using diaphragmatic ultrasound, with a p-value of 0.000. Based on our results we recommend further studies on larger patients and longer periods of follow-up to emphasize our conclusion. Conclusion: ISNB and SSNBþIAI provided similar postoperative analgesia and patient satisfaction, but the higher rate of complications in ISNB made the SSNBþIAI superior for use in arthroscopic shoulder surgery. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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