TO EVALUATE THE EFFECTIVENESS OF PAIN RELIEF AFTER SHOULDER JOINT SURGERY BYINTERSCALENE BRACHIAL PLEXUS BLOCK

Phạm Quang Minh1,, Vũ Hoàng Phương1
1 Hanoi Medical University

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Abstract

Applying pain relief methods after shoulder surgery has great value in clinical practice. All analgesia techniques have advantages and also disadvantages. We conduct research to compare the effectiveness of pain relief after shoulder joint surgery byinterscalene brachial plexus block under ultrasound guidance with single shot or continuous infusion. Prospective, randomized clinical trial study will be conducted at Viet Duc Hospital from 3 to 8/2021. 61 patients, divided into 2 groups. Results: anthropometric indices, ASA, type of surgery between the 2 groups did not have any difference. The average resting VAS score of both groups was below 4 at all the time points of the study, the VAS score of the continuous infusion group (group I) was lower than that of the single shot group (group II) at the time points of the study from T16 to T48, difference was statistically significant with p < 0,05. The average moving VAS score of the group I was lower than in group II from the time point T12 to T72, the difference was statistically significant with p < 0,05. Conclusion: VAS scores at rest or movement were lower in the continuous infusion group than in the single injection group, the difference was statistically significant from the 12th hour after surgery. Some side effects were low and no difference between the 2 groups.

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References

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