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ORIGINAL ARTICLE
Year : 2019  |  Volume : 14  |  Issue : 3  |  Page : 175-178

Comparison between Supraclavicular and Interscalene Brachial Plexus Block in Patients Undergoing Shoulder Surgery


Department of Anaesthesiology, AVBRH Affiliated to Jawaharlal Nehru Medical College, Wardha, Maharashtra, India, India

Correspondence Address:
Dr. Amol Singam
Department of Anaesthesiology, AVBRH Affiliated to Jawaharlal Nehru Medical College, Sawangi, Wardha - 442 001, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jdmimsu.jdmimsu_53_19

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Introduction: Interscalene approach of the brachial plexus block is considered the gold standard for shoulder anesthesia. However, this method is associated with a high incidence of side effects such as Horner's syndrome, phrenic nerve palsy and hoarseness of voice. The supraclavicular approach of the brachial plexus block is associated with a high success rate and provides anesthesia of the entire upper extremity in the most consistent, time-efficient manner. However, there is little information regarding its efficacy for providing analgesia for shoulder surgeries. This study was carried out to compare the success rate and complications associated with each technique. Materials and Methods: After the approval of Ethics Committee, this prospective, randomized comparative study was carried out on 60 American Society of Anesthesiologists Class I and II patients posted for elective and emergency shoulder surgeries. Sixty patients were randomly divided into two groups of 30 each, namely interscalene block (ISB) group and supraclavicular block (SCB) group. Both the blocks were given with 30 ml of 0.375% injection bupivacaine. Success rate, block performance time, patient requiring fentanyl, duration of analgesia and complications were noted. Results: The success rate and duration of analgesia were comparable in both the groups. Block performance time was significantly longer in SCB group as compared to ISB group. The requirement of intraoperative fentanyl was more in the SCB group. Complications such as Horner's syndrome, phrenic nerve palsy and hoarseness of voice were significantly higher in ISB group as compared to SCB group. Conclusion: SCB technique has an equal success rate and provides similar analgesic efficacy and duration of analgesia as ISB for shoulder surgeries. It is also associated with a lesser incidence of complications. SCB can thus be considered as a safe alternative to ISB for shoulder surgeries.


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