EFFICACY OF SINGLE SHOT INTERSCALENE BLOCK FOR CLAVICLE FRACTURE IN ZENUS HOSPITAL
Dr. Sharda Singh*, Dr. Mohan Singh, Dr. Anand Agrahari and Ms. Sujata G. M.
ABSTRACT
An interscalene block (ISB) is a technique for anesthesia to the shoulder and lateral regions of the arm and forearm which contribute anesthesia and analgesia of the part supplied. After axillary blocks, ISB is the second most common upper extremity peripheral nerve block performed in outpatient settings. This retrospective cohort study involving 45 participants who performed interscalene block for clavicle surgery in Zenus Hospital and Research Centre Pvt. Ltd. from 14th April 2017 to 16th Dec 2019 was carried out to determine the efficacy of single shot interscalene block. Different tools and technique for the study include patient's information from hospital record (pre-operative checklist and post-operative observation). 24 hour post-operative NSAIDs or opioid consumption record was obtained from patient's treatment record which assisted to evaluate the efficacy of anaesthesia. Accuracy of block were measured in three categories as adequate, partial and failed. The study explore that among 45 participants, who had underwent clavicle surgery among them 40 (88.9%) males whereas 5 (11.1%) were females. The block success rate was 80%. No any side effects or complications were observed in any of the case. Only 1 (2.2%) respondent was found consuming opioid in 12 hours post-operative period. It revealed no complaints of post-operative pain in any of the participants except the 1 (2.2%) respondents who was prescribed with opioid analgesic in 12 hours post-operative pain. None of the patients were observed complications and the block success rate was found to be (80%) with complete block and (20%) with partial block. Hence, single shot interscalene block is effective technique for clavicle surgery.
Keywords: Efficacy, interscalene block, clavicle fracture.
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