Naslov
INTERSCALENE BLOCK ANAESTHESIA OR GENERAL ANAESTHESIA IN PATIENTS WITH PROXIMAL HUMERUS FRACTURE?

Autori
Baranović, Senka ; Maldini, Branka ; Torbica, Velimir, Ćuti, Tomislav ; Karlak, Ivan ; Sabalić, Srećko ; Đurđević, Dragan ; Milošević, Milan

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, neobjavljeni rad, znanstveni

Izvornik
Combined 33rd SICOT and 17th PAOA Orthopedic World Conference / - , 2012, 93-93

Skup
Combined 33rd SICOT and 17th PAOA Orthopedic World Conference

Mjesto i datum
Dubai, Ujedinjeni Arapski Emirati, 28.11.2012. - 30.11.2012

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
interscalene block anaesthesia; levobupivacain; general anaesthesia

Sažetak
Background and purpose ; 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. Materials and Methods: 50 patients were included in this prospective, randomized study. Theywere randomized into two groups, ISBA group and GA group. Patients in ISBA groupwere 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 in both groups, duration of postoperatively and patient satisfaction. anaesthesia operation, hemodynamic stability, loss of blood during operation, use of analgesics Results: There was no statistically significant difference between groups regarding demographic characteristics and ASA status and duration of operation. ISBA group had statistically lower VAS score in first 12 hours at rest and 24 hours in motion (P<0.05), as well as lower use (P<0.001). There were no statistically significant differences in complications, although more hypotension was recorded in GA group. The loss of blood was statistical higher in ISBA group (P<0.031). The time necessary to perform anaesthesiawas significantly longer in ISBA group (P<0.001). There is a statistically significant difference regarding patient satisfaction, to the advantage of ISBA (P<0.029). continuous infusion of analgesics intraoperative Conclusion: ISBA is a bettermethod of anaesthesia than GA in patients with proximal humerus fracture, it leads to better pain relief, lesser use of analgesics, without significantcomplications.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA