Comparison of the haemodynamic effects of interscalene block combined with general anaesthesia and interscalene block alone for shoulder surgery

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Ozzeybek D., Oztekin S., Mavioglu O., Karaege G., Ozkardesler S., Ozkan M., ...More

JOURNAL OF INTERNATIONAL MEDICAL RESEARCH, vol.31, no.5, pp.428-433, 2003 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 31 Issue: 5
  • Publication Date: 2003
  • Doi Number: 10.1177/147323000303100512
  • Journal Name: JOURNAL OF INTERNATIONAL MEDICAL RESEARCH
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.428-433
  • Keywords: interscalene brachial plexus block, shoulder surgery, haemodynamic effects, BRACHIAL-PLEXUS BLOCK, POSTOPERATIVE ANALGESIA, SITTING POSITION, ARTHROSCOPY, ROPIVACAINE
  • Dokuz Eylül University Affiliated: Yes

Abstract

Interscalene brachial. plexus block (ISB) anaesthesia is widely used with or without general anaesthesia in patients undergoing shoulder surgery, which is generally done with the patient in a sitting position. This position affects haemodynamics, and supplementing ISB with general anaesthesia can exaggerate these haemodynamic changes. This study compared ISB combined with general anaesthesia, with ISB alone, in 29 patients undergoing elective shoulder surgery. Heart rate and oxygen saturation remained stable throughout the study in both groups. Mean arterial pressure was significantly decreased when the patient moved into the sitting position in those given combined anaesthesia, whereas in those given ISB alone mean arterial pressure did not change significantly. Neither pain scores nor patient satisfaction scores differed significantly between the two groups. All of the patients were either satisfied or entirely satisfied with their anaesthesia/analgesia. There were no significant differences in side-effects and no severe complications in either group. We advocate using ISB alone for patients undergoing shoulder surgery, but further larger studies are needed to confirm the present results.