AI Summary & Key Takeaways
AI InsightBut, there was no significant difference in complications between both groups (p<0.05).Conclusion: Ultrasound-guided infraclavicular block could be a positive option for both sufficient of postoperative analgesiacompared with GA in patients with humerus fracture undergoing upper extremity surgery
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Abstract
Objective: To compare the sufficiency of postoperative pain effects of ultrasound-guided infraclavicular block and generalanesthesia in patients with humerus fracture undergoing upper extremity surgery.Method: The study was planned as a retrospective study. Forty two patients who underwent humerus fracture surgery betweenJuly 2016 and July 2017, with either general anesthesia (GA, n=19) or ultrasound-guided infraclavicular block (ICB, n=23) wereincluded in the study. Postoperative visual analogue scale (VAS) pain scores at rest and during activity at 30thmin, 2, 6, 12 and24thhours, the total amount of morphine consumed, the first analgesia requirement time were evaluated by postoperative patientcontrolled analgesia (PCA) devices.Results: The demographic characteristics of the patients were similar (p>0.05). The VAS scores at rest and during activityand total amount of consumed morphine were lower in the ICB group in the first 12 hours than in the GA group (p<0.001). Totalamount of consumed morphine were lower, and the first analgesia requirement time was much more in the ICB group than in theGA group (p<0.001). But, there was no significant difference in complications between both groups (p<0.05).Conclusion: Ultrasound-guided infraclavicular block could be a positive option for both sufficient of postoperative analgesiacompared with GA in patients with humerus fracture undergoing upper extremity surgery
Özet
Amaç: Humerus kırığı nedeni ile üst ekstremite cerrahisi geçiren hastalarda, ultrason kılavuzluğunda tek enjeksiyon infraklavikülerbloğu ile genel anestezinin postoperatif ağrı değerlerini karşılaştırmak.Yöntem: Çalışma retrospektif olarak planlandı. Temmuz 2016 ile Temmuz 2017 tarihleri arasında humerus kırığı operasyonuyapılan, genel anestezi (Grup GA, n = 19) veya ultrason kılavuzluğunda infraklaviküler blok (Grup IKB, n = 23) uygulanan hastalarçalışmaya dahil edildi. Postoperatif 30 dk, 2., 6., 12. ve 24. saatlerde dinlenme ve aktivite sırasındaki görsel analog skalası (VAS)ile ağrı skorları, tüketilen toplam morfin miktarı ve ilk analjezi gereksinimi zamanı hasta kontrollü analjezi cihazı ile değerlendirildi.Bulgular: Hastaların demografik özellikleri benzerdi (p>0.05). Postoperatif ilk 12 saat dinlenme ve aktivite sırasında VASskorları ve toplam tüketilen morfin miktarı IKB grubunda GA grubuna göre daha düşüktü (p 0.05).Sonuç: Ultrason kılavuzluğunda infraklaviküler blok, humerus kırığı cerrahisi geçiren hastalarda genel anestezi ile karşılaştırıldığındayeterli postoperatif analjezi için olumlu bir seçenek olabilir