Articles Vol. 63 No. chuyên đề 3-HN Sản Nhi Nghệ An (2022) 30/11/2022

ASSESSMENT OF THE EFFECTIVENESS OF ANALGESIA AFTER UPPER EXTREMITY SURGERY IN CHILDREN WITH ULTRASOUND-GUIDED BRACHIAL PLEXUS BLOCKS AT NGHE AN OBSTETRIC AND PEDIATRIC HOSPITAL FROM 02/2022 TO 10/2022

Tang Xuan Hai1,2, Tran Minh Long1,2, Luong Thi Hoai Khanh1,2, Tran Anh Tu1,2
1 Nghe An Hospital of Obstetrics and Pediatrics
2 Bệnh viện Sản Nhi Nghệ An
Corresponding author: bstangxuanhai@gmail.com
DOI: 10.52163/yhc.v63i8.508
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Keywords
Supraclavicular brachial plexus blocks, ultrasound-guided, analgesia, children.
Abstract

Objectives: To evaluate the effectiveness of analgesia after upper extremity surgery in children
with ultrasound-guided brachial plexus blocks.
Subjects-methods: 54 pediatric patients undergoing upper extremity surgery, eligible for
selection, were randomly assigned to 2 groups: General anesthesia with ultrasound-guided brachial
plexus blocks (group I) or general anesthesia (group II).
Results: Showed that Ramsay's sedation score after surgery: Group I had 100% of patients
achieved ≤3, group II had 85.18% achieved ≤ 3 and 14.82% patients achieved 4 points (p<0.05);
average pain relief time in group I 7.13 ± 0.64 hours; average post-operative recovery time in
group I7.85±2.35, group II 13.70±2.65, (p<0.05); the number of times of using additional pain
relief after surgery of group I was 1.30 ± 0.47, and of group II was 3.26 ± 0.59, (p<0.05).
Conclusions: Postoperative analgesia was better than anesthesia alone with: better postoperative Ramsay sedation score, better recovery time, prolonged postoperative analgesia, and
additional use of postoperative analgesia. significantly less than in pediatric patients receiving
anaesthesia alone.

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