Document Detail

Comparison of the haemodynamic effects of interscalene block combined with general anaesthesia and interscalene block alone for shoulder surgery.
MedLine Citation:
PMID:  14587312     Owner:  NLM     Status:  MEDLINE    
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.
D Ozzeybek; S Oztekin; O Mavioğlu; G Karaege; S Ozkardeşler; M Ozkan; M Canyilmaz; Z Elar
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of international medical research     Volume:  31     ISSN:  0300-0605     ISO Abbreviation:  J. Int. Med. Res.     Publication Date:    2003 Sep-Oct
Date Detail:
Created Date:  2003-10-31     Completed Date:  2004-06-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0346411     Medline TA:  J Int Med Res     Country:  England    
Other Details:
Languages:  eng     Pagination:  428-33     Citation Subset:  IM    
Department of Anaesthesiology, Dokuz Eylül University Hospital, Izmir, Turkey.
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MeSH Terms
Anesthesia, General / methods*
Brachial Plexus / pathology*
Middle Aged
Nerve Block / methods*
Orthopedic Procedures
Oxygen / metabolism
Pain, Postoperative
Time Factors
Reg. No./Substance:

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