TY - JOUR AU - Ahmed, Mushtaq AU - Ahmad, Ashfaq AU - Ali, Amjad AU - Tabani, Kashif Iqbal AU - Tunio, Muhammad Zaib AU - Shah, Saqib PY - 2022/12/29 Y2 - 2024/03/29 TI - Evaluation of Supraclavicular Brachial Plexus Nerve Block with Patient Controlled Intravenous Analgesia for Post-Operative Pain Management in Patients with Forearm Surgery JF - Pakistan Armed Forces Medical Journal JA - PAFMJ VL - 72 IS - 6 SE - Original Articles DO - 10.51253/pafmj.v72i6.3674 UR - https://pafmj.org/PAFMJ/article/view/3674 SP - 1895-98 AB - <p><strong>Objective:</strong> To compare the efficacy of supraclavicular brachial plexus block with patient-controlled intravenous analgesia (PCIA) for post-operative pain management in forearm surgery.</p><p><strong>Study Design:</strong> Comparative Cross-Sectional Study.</p><p><strong>Place and Duration of Study:</strong> Department of Anesthesia, Combined Military Hospital, Kharian Pakistan, from Sep 2018 to Nov 2019.</p><p><strong>Methodology:</strong> 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.</p><p><strong>Results:</strong> 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&lt;0.05) while the non-significant difference was noted at 5 minutes (p &gt;0.05).</p><p><strong>Conclusion:</strong> Significantly, better pain control was noted in supraclavicular brachial plexus block compared to patients’- controlled analgesia in post-operative pain management.</p> ER -