Ultrasound guided suprascapular and costoclavicular nerve block versus interscalene nerve block for postoperative analgesia in arthroscopic shoulder surgery: A randomized non-inferiority clinical trial
| Autor: | Emad Zarief Kamel, Golnar M Fathy, Mohamed Talaat, Mohamed H. Bakri, Omar M. Soliman, Mohamed Abd El-Radi Abd El-Salam, Eman A. Ismail |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Egyptian Journal of Anaesthesia, Vol 38, Iss 1, Pp 446-452 (2022) |
| Druh dokumentu: | article |
| ISSN: | 11101849 1110-1849 |
| DOI: | 10.1080/11101849.2022.2108050 |
| Popis: | Background Suprascapular nerve block (SSB) with costoclavicular nerve block (CCB) could be an ideal hybrid block for arthroscopic shoulder surgery in comparison to interscalene nerve block (ISB) regarding postoperative analgesia.Methods Fifty adult patients scheduled to undergo elective arthroscopic shoulder surgery under general anesthesia were equally randomized and enrolled in this study in a 1:1 ratio either to ISB group or diaphragm sparing block DSB (received combined SSB plus CCB blocks). The first numeric pain score (NRS) on awakening was recorded (1), then every 15 minutes over 3 hours. The time to 1st rescue analgesia and the number of patients who required nalbuphine to decrease pain scores below 4/10 were recorded. The incidence of persistent pain after 1 month was recorded as well.Results Pain NRS was significantly lower in ISB than DSB group during the early 3 hours postoperatively (p |
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