Background: Poor control of pain affects quality of life and recovery after surgery that requires management of postoperative pain for better comfort, and outcome, with better and faster recovery.
Objectives: This investigation is designed to assess effectiveness of sub-scapularis (SC) and sub-omohyoid (SO) plane blocks for analgesia in post-operative arthroscopic shoulder surgery (ASS) and compare them with interscalene block (ISB).
Patients and methods: This Prospective randomized controlled double-blind study was performed on sixty cases of both sexes for arthroscopic shoulder surgery. The cases were allocated to: Group S: patients received SC and SO plane blocks in addition to general anesthesia (n=30). Group C: (control group) cases received ISB in addition to general anesthesia (n=30).
Results: Visual Analogue Scale (VAS) was matched until the 7th hour as it started to rise especially in the S group which was substantially elevated than the C group until 24 hours postoperatively. The mean values of onset times of complete sensory and motor blocks were statistically remarkably shorter in group S than in group C. patient's satisfaction score in the S group was statistically significantly higher than C group (8.2 ± 1.0 versus 7.6 ±1.1 in the S and C groups respectively)
Conclusion: Our findings demonstrated that subscapularis and sub-omohyoid blocks are more effective and safer analgesic technique than ISB for analgesia as it has a shorter time of onset of complete sensory and motor blocks with less total consumption of supplemental analgesia and less incidence of postoperative complications in unilateral elective arthroscopic shoulder surgery
Elsayed, H., EL Dorgham, L., Abdel Galel, E., & Tawfik, A. (2023). Subscapularis and Sub-omohyoid Plane Block versus Interscalene Block for Analgesia in Arthroscopic Shoulder Surgery: A Randomized Controlled Study. Zagazig University Medical Journal, (), -. doi: 10.21608/zumj.2023.253291.3032
MLA
Hussein Ibrahim Abdel Fattah Elsayed; Lobna Taha EL Dorgham; Essam Fathy Abdel Galel; Ahmed M. Tawfik. "Subscapularis and Sub-omohyoid Plane Block versus Interscalene Block for Analgesia in Arthroscopic Shoulder Surgery: A Randomized Controlled Study". Zagazig University Medical Journal, , , 2023, -. doi: 10.21608/zumj.2023.253291.3032
HARVARD
Elsayed, H., EL Dorgham, L., Abdel Galel, E., Tawfik, A. (2023). 'Subscapularis and Sub-omohyoid Plane Block versus Interscalene Block for Analgesia in Arthroscopic Shoulder Surgery: A Randomized Controlled Study', Zagazig University Medical Journal, (), pp. -. doi: 10.21608/zumj.2023.253291.3032
VANCOUVER
Elsayed, H., EL Dorgham, L., Abdel Galel, E., Tawfik, A. Subscapularis and Sub-omohyoid Plane Block versus Interscalene Block for Analgesia in Arthroscopic Shoulder Surgery: A Randomized Controlled Study. Zagazig University Medical Journal, 2023; (): -. doi: 10.21608/zumj.2023.253291.3032
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