Evaluation of Supraclavicular Brachial Plexus Nerve Block with Patient Controlled Intravenous Analgesia for Post-Operative Pain Management in Patients with Forearm Surgery

Mushtaq Ahmed; Ashfaq Ahmad; Amjad Ali; Kashif Iqbal Tabani; Muhammad Zaib Tunio; Saqib Shah

doi:10.51253/pafmj.v72i6.3674

Authors

Mushtaq Ahmed Chandka Medical College Hospital, Larkana Pakistan
Ashfaq Ahmad Combined Military Hospital, Kharian/National University of Medical Sciences (NUMS) Pakistan
Amjad Ali Combined Military Hospital, Kharian/National University of Medical Sciences (NUMS) Pakistan
Kashif Iqbal Tabani Chandka Medical College Hospital, Larkana Pakistan
Muhammad Zaib Tunio Chandka Medical College Hospital, Larkana Pakistan
Saqib Shah Chandka Medical College Hospital, Larkana Pakistan,

DOI:

https://doi.org/10.51253/pafmj.v72i6.3674

Keywords:

Forearm Surgery, Post-Operative analgesia, Patient-controlled intravenous analgesia (PCIA) Supraclavicular brachial plexus block

Abstract

Objective: To compare the efficacy of supraclavicular brachial plexus block with patient-controlled intravenous analgesia (PCIA) for post-operative pain management in forearm surgery.

Study Design: Comparative Cross-Sectional Study.

Place and Duration of Study: Department of Anesthesia, Combined Military Hospital, Kharian Pakistan, from Sep 2018 to Nov 2019.

Methodology: Eighty-two adult patients, of ASA Class I and II, were enrolled and were randomly divided into two equal groups using computer-generated random numbers. General anaesthesia was administered to both groups. Additionally, Group-A (n=41) received supraclavicular brachial plexus block while Group-B (n=41) received patients-controlled analgesia. Post-operative pain was assessed using a 10 cm visual analogue scale (VAS). The pain scores were noted after complete recovery from general anaesthesia at 5 minutes, 6, 12 and 24 hours.

Results: The pain score was found to be significantly lower in Group-A (supraclavicular brachial plexus block) as compared to Group-B (patients-controlled analgesia) at 6, 12 and 24 hours (p<0.05) while the non-significant difference was noted at 5 minutes (p >0.05).

Conclusion: Significantly, better pain control was noted in supraclavicular brachial plexus block compared to patients’- controlled analgesia in post-operative pain management.