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
Main Article Content
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.
Article Details
Keywords
Supraclavicular brachial plexus blocks, ultrasound-guided, analgesia, children.
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