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TITLE:

EFFECTIVENESS OF SMALL DOSE OF INTERSCALENE BRACHIAL PLEXUS BLOCK ON PAIN AFTER SURGERY OF SHOULDER

AUTHORS:

Dr Muhammad Amin, Dr Sadaf Zahid, Dr Abid Ali

ABSTRACT:

Objective: The aim of this research work is to assess the effectiveness of a low dose of Inter-Scalene Brachial Plexus Block on pain after surgery of shoulder. Better control of the pain after surgery plays very important role in the result of the open surgery of shoulder which provides in time rehabilitation and steps up the operational recuperation. Methodology: Total 50 patients who were undergoing for the elective surgery of shoulder were the part of this research work. We randomly separated the patients into 2 groups of 25 patients in each. We provided morphine sulfate to the patients of one group and for the patients of other group, we provided a low dose of the Inter-Scalene Brachial Plexus Block. Then the evaluation of the severity of the pain, scores for the satisfaction of the patient and parameters of the recovery after anesthesia carried out. Results: The scores for the patient’s satisfaction were present with improvement in the group of Inter-Scalene Brachial Plexus Block. Agitation in the patients of the group of inter-scalene brachial plexus block was significantly lower in comparison with the patients of other group. The scores of the severity of pain were significantly low with the use of inter-scalene brachial plexus block. There were no side effects of the inter-scalene brachial plexus block on the parameters of recovery after anesthesia. Conclusion: Small dose of the inter-scalene brachial plexus block is an effective technique for the reduction of the pain after surgery with no impact on the recovery parameters after the anesthesia as well as the stay of the patients in the hospital after shoulder surgery. Keywords: Inter-Scalene Brachial Plexus Block, Anesthesia, Surgery, Morphine, Recuperation, Rehabilitation.

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