European Journal of Molecular & Clinical Medicine

Abstract

Introduction: Postoperative pain is severe in Shoulder surgeries. Interscalene brachial plexus block provides effective analgesia but it is associated with many adverse effects. To avoid these, we have compared Combined suprascapular and axillary nerve block versus interscalene brachial plexus block in this study.
Aims & Objective: The primary aim of the study was to compare combined suprascapular and axillary nerve block versus interscalene brachial plexus block for postoperative analgesia in shoulder surgery.
Material & Methods:  Total 60 patients of ASA grade I, II &III undergoing shoulder surgery were enrolled in this study. They were randomly divided in to two groups of 30 each using envelope method. Group S received Combined Suprascapular and Axillary nerve block. Group I received Interscalene brachial plexus block. All patients were given General Anaesthesia. Assessment of sensory block, VAS score, duration of analgesia, number of rescue analgesics needed in postoperative period within 24 hours were noted and analyzed using X² test.
Results: Duration of effective analgesia in group S (545±30.93) was higher compared to group I (459.33±20.16).Total number of Rescue analgesics required in postoperative period was more in Group I (3.366±0.76) as compared to Group S (2.06±0.25).
Conclusion: Combined Suprascapular and Axillary Nerve block provided prolonged duration of postoperative analgesia as compared to Interscalene Brachial Plexus Block following shoulder surgery.