COMBINED BRACHIAL PLEXUS BLOCK AND SUPERFICIAL CERVICAL PLEXUS BLOCK WITH GENERAL ANAESTHESIA IN SHOULDER JOINT FRACTURE OF ARTHROSCOPIC SURGERY
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Abstract
To investigate the effect of brachial plexus block and superficial cervical plexus block combined with general anesthesia in shoulder arthroscopic surgery is the objective of the study. 100 patients who underwent arthroscopic surgery in our hospital from March 2023 to March 2024 were randomly divided into observation group (n=50) and control group (n=50). General anesthesia was used in the control group and brachial plexus block and superficial cervical plexus block combined with general anesthesia was used in the observation group. The amount of analgesics and recovery, hemodynamics, pain and postoperative complications were compared between the two groups. The amount of analgesics used in the observation group was significantly less than that in the control group and the recovery time of the patients was shorter than that in the control group (p<0.05); the heart rate, and mean arterial pressure of the two groups at the time of skin incision (T1) were significantly different from those at the time of intubation (T0), 30 min (T2) after skin incision and 15 min (T3) after entering the anesthesia monitoring room after operation (all p<0.05). At T1, the heart rate of the observation group was lower than that of the control group and the map level was higher than that of the control group. The difference was statistically significant (p<0.05); the scores of visual analog scale and Ramsay sedation scale in the observation group at 2 h, 8 h and 24 h after operation were lower than those in the control group (p<0.05); there was no significant difference in the incidence of adverse reactions between the two groups (p>0.05). Brachial plexus block and superficial cervical plexus block combined with general anesthesia has a relatively good effect in shoulder arthroscopic surgery, which is conducive to scoring hemodynamics, reducing pain and good safety.
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Dr. B. Laxmanna
Associate Professor, Department of Anaesthesia, Maheshwara Medical College and Hospital
Dr. K. Sreenivasa Rao
Associate Professor, Department of Anaesthesia, Maheshwara Medical College and Hospital