Effect of Ultrasound Guided Supraclavicular Brachial Plexus Block on Intraoperative Opioid Consumption and Quality of Postoperative Analgesia in Closed Reduction and Pinning of Paediatric Supracondylar Fracture of Humerus
| Autor: | Amit Kumar, Ovais Nazir, Shiv Kumar Singh, Hamid Yatoo |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
RC86-88.9
Opioid consumption business.industry medicine.medical_treatment Medical emergencies. Critical care. Intensive care. First aid Ultrasound guided supraclavicular brachial plexus block Atomic and Molecular Physics and Optics Ultrasound guided Supraclavicular brachial plexus block medicine.anatomical_structure Opioid Anesthesiology Anesthesia medicine Closed reduction and percutaneous pinning (CRPP) RD78.3-87.3 Humerus Electrical and Electronic Engineering business opioid Reduction (orthopedic surgery) medicine.drug |
| Zdroj: | Archives of Anesthesia and Critical Care, Vol 7, Iss 3 (2021) |
| ISSN: | 2423-5849 |
| DOI: | 10.18502/aacc.v7i3.6903 |
| Popis: | Background: Supracondylar fracture of the humerus is one of the commonly encountered injuries in paediatric age group accounting for 16% of all paediatric fractures and 60% of all paediatric elbow fractures, classically occurring as a result of fall on an outstretched hand. Regional anesthesia may represent one of the best solutions for intraoperative and postoperative paediatric pain management however, due to lack of proficiency and the increased risk of complications in children and difficulty in obtaining cooperation compared to adults, it is not the method of choice for most of the anesthesiologists in children. Methods: A total of 50 paediatric patients were included who were to undergo CRPP and divided into two groups Group I- General anaesthesia alone (n = 25), Group II- General anaesthesia with USG guided supraclavicular brachial plexus block studied for the intraoperative opioid consumption as well as postoperative analgesia quality, duration and Opioid consumption. Results: Demographic data were similar in both groups (I and II). Time to first dose of analgesia after surgery in the group I was 54.8±5.4 min and 746.6±40.2 min (p |
| Databáze: | OpenAIRE |
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