Naslov
A comparison of interscalene block anaesthesia and general anaesthesia in patient with proximal humerus fracture

Autori
Baranović, Senka ; Maldini, Branka ; Marić Stela, Milošević Milan

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Regional Anesthesia and Pain Medicine / - , 2011, E246-E246

Skup
30th Anual European Society of Regional Anaesthesia and Pain Therapy Congress

Mjesto i datum
Dresden, Njemačka, 07.09.2011. - 10.09.2011

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
Interscalene block anaesthesia; General anaesthesia; Humerus fracture

Sažetak
Background and aims: A proximal humerus fracture is a common injury of the shoulder. The aim of this study is to compare the effects of two anaesthetic methods in patients with proximal humerus fracture in development of postoperative pain. Methods: 50 patients were included in this prospective, randomized study. They were randomized into two groups, ISBA group and GA group. Patients in ISBA group were anesthetized using interscalene block technique ; whilst patients in GA group were anesthetized according to general anaesthesia protocol. The VAS score was assessed every two hours at rest and in motion. We measured time necessary to prepare anaesthesia in both groups, duration of operation, hemodynamic and respiratory stability, loss of blood during operation, use of analgesics postoperatively and patient satisfaction. Results: There was no statistically significant difference between groups regarding demographic characteristics and ASA status. ISBA group had statistically lower VAS score as well as lower analgesics use (P<0.05). There were no statistically significant differences in intraoperative complications, although more hypotension was recorded in GA group. The loss of blood was higher in ISBA group, but this result bears no statistical significance. The time necessary to perform anaesthesia was significantly longer in ISBA group (P<0.05). There is a statistically significant difference regarding patient satisfaction, to the advantage of ISBA (P<0.05). Conclusion: ISBA is a better method of anaesthesia than GA in patients with proximal humerus fracture, it leads to better pain relief, lesser use of analgesics, without significant complications.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA