Sevtap CEMALOĞLU, Taylan AKKAYA, Derya ÖZKAN, Faruk Mehmet CATMA

Supraskapular ve aksiller sinir bloğunun artroskopik omuz cerrahisinde postoperative ağrı, sevofluran tüketimi ve görsel netliğe etkileri

Amaç: Bu çalışmada amaç, artroskopik omuz cerrahisinde supraskapular sinir ve aksiller sinir bloğunun postoperatif ağrı, tramadol tüketimi, sevofluran tüketimi ve cerrahi alanın görsel netliğine etkisini araştırmaktır. Gereç ve Yöntem: Artroskopik omuz cerrahisi geçirecek 46 hasta, genel anestezi öncesi ultrason rehberliğinde hem supraskapüler hem de aksiller sinir bloğu yapılması (20 ml% 0.25 bupivakain) (Grup SSAXB, n=23) ya da işlem sonrası subakromiyal lokal infiltrasyon (Grup Kontrol, n=23) yapılması için randomize edildi. Hastaların soluk sonu sevofluran tüketimi, artroskopik alan görüntüsü skoru işlem sırasında kaydedildi. Hastaların postoperatif ağrı skorları (ameliyat sonrası PACU’da 4, 8, 12, 24. saat) ve tramadol tüketimi de kaydedildi. Bulgular: Soluk sonu sevofluran konsantrasyon değerleri, her iki grupta benzerdi (p>0.05). Grup SSAXB’nin anestezi sonrası derlenme birimindeki (PACU) ortalama statik ağrı skorları daha iyiydi (Grup SSAXB 4.27±1.48’e karşılık Grup C 6.24±1.09 p

Effects of suprascapular and axillary nerve block on postoperative pain relief sevoflurane consumption and visual clarity in arthroscopic shoulder surgery

Objectives: This study aims to investigate the effects of suprascapular nerve and axillary nerve block on postoperative pain,tramadol consumption, sevoflurane consumption and visual clarity of the surgical field in arthroscopic shoulder surgery.Methods: Forty-six patients undergoing arthroscopic shoulder surgery were randomized to receive either both suprascapular and axillary nerve block with ultrasound guidance (20 ml 0.25% bupivacaine) before general anesthesia (group SSAXB,n=23) or a subacromial local infiltration (20 ml 0.25% bupivacaine) after the procedure (group control, n=23). End-tidalsevoflurane consumption, visualization of the arthroscopic field scores of the patients were recorded during the procedure.The patient’s postoperative pain scores (at PACU, 4, 8, 12, 24 hours after the surgery) and tramadol consumption were alsorecorded.Results: End-tidal sevoflurane concentration values were similar in both groups (p>0.05). Group SSAXB had a better meanstatic pain score in the PACU (Group SSAXB 4.27±1.48 vs Group C 6.24±1.09 p

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