| Autor: |
Recep Aksu, Cihangir Biçer, Ayse Ülgey, Adnan Bayram, Isin Günes, Ahmet Güney, Mustafa Denizhan Yildirim, Günhan Gökahmetoglu, Karamehmet Yildiz |
| Jazyk: |
English<br />Spanish; Castilian<br />Portuguese |
| Rok vydání: |
2015 |
| Předmět: |
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| Zdroj: |
Revista Brasileira de Anestesiologia, Vol 65, Iss 3, Pp 222-229 (2015) |
| Druh dokumentu: |
article |
| ISSN: |
1806-907X |
| DOI: |
10.1016/j.bjane.2014.06.005 |
| Popis: |
BACKGROUND AND OBJECTIVES: In this study, the aim was to compare postoperative analgesia effects of the administration of ultrasound-guided interscalene brachial plexus block and intra-articular bupivacaine carried out with bupivacaine. METHODS: In the first group of patients 20 mL 0.25% bupivacaine and ultrasound-guided interscalene brachial plexus block (ISPB) were applied, while 20 mL 0.25% bupivacaine was given via intra-articular (IA) administration to the second group patients after surgery. Patients in the third group were considered the control group and no block was performed. Patient-controlled analgesia (PCA) with morphine was used in all three groups for postoperative analgesia. RESULTS: In the ISPB group, morphine consumption in the periods between 0-4, 6-12 and 12-24 postoperative hours and total consumption within 24 h was lower than in the other two groups. Morphine consumption in the IA group was lower than in the control group in the period from 0 to 6 h and the same was true for total morphine consumption in 24 h. Postoperative VASr scores in the ISPB group were lower than both of the other groups in the first 2 h and lower than the control group in the 4th and 6th hours (p < 0.05). In the IA group, VASr and VASm scores in the 2nd, 4th and 6th hours were lower than in the control group (p < 0.05). CONCLUSION: Interscalene brachial plexus block was found to be more effective than intra-articular local anesthetic injection for postoperative analgesia. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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