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Abstract
Objective: Management of postoperative pain especially in shoulder surgery is very important because it will improve the result of the surgery, patient satisfaction, and allow painless physiotherapy.
Continuous interscalene brachial plexus blockade can provide anesthesia and analgesia in the shoulder region.
The purpose of this study: is to investigate the effect of the interscalene brachial plexus block (classical approach of Winne) and paravertebral approach on pain relief, vital signs, oxygen saturation , arterial blood gases, pulmonary functions, stability of the catheter in its site .
Patent and Methods: The study was conducted on 80 adult patients admitted to Al Razi orthopedic hospital in Kuwait complaining of special problems in the shoulder region and indicated for surgery.
Patients were allocated randomly into one of 2 groups:
Group I: Lateral group (n = 40) using the classical approach of Winne
Group II: Posterior group (n = 40) using paravertebral interscalene brachial plexus approach .
The level of pain relief was assessed by Visual Analogue Scale (VAS), measurement of pulmonary function test, arterial blood gases, vital signs, oxygen saturation. Stability of the catheter in its site will be assessed by plain X Ray after dye injection and side effects, were recorded and analyzed.