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Related Experiment Videos

Postoperative continuous interscalene brachial plexus blockade for hand surgery

D L Koh1, B H Lim

  • 1Department of Anaesthesia and Surgical Intensive Care, Singapore General Hospital, Singapore.

Annals of the Academy of Medicine, Singapore
|July 1, 1995
PubMed
Summary

Continuous interscalene brachial plexus blockade with bupivacaine effectively manages postoperative pain for upper extremity surgery. This method offers advantages in pain control and patient mobility, proving effective and economical.

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Area of Science:

  • Anesthesiology
  • Orthopedic Surgery

Background:

  • Interscalene brachial plexus blockade is a standard technique for upper extremity surgical anesthesia.
  • Continuous infusions of local anesthetics can extend analgesia into the postoperative period.

Purpose of the Study:

  • To evaluate the efficacy and safety of continuous interscalene brachial plexus blockade with 0.25% bupivacaine for postoperative analgesia after hand surgery.

Main Methods:

  • A two-year survey of 126 patients undergoing hand surgery.
  • Assessment of postoperative pain scores (verbal analogue scale) for three days.
  • Monitoring of additional analgesic requirements, occupational therapy compliance, and complication rates.

Main Results:

  • Over 70% of patients reported pain scores of 4 or less.

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  • Low requirements for additional narcotics (6.3%) and NSAIDs (11.9%).
  • Good compliance with early occupational therapy; insertion complications (11.1%) were transient; infusion complications (14.3%) included catheter dislodgement and site pain.

    • Conclusions:

    • Continuous interscalene brachial plexus blockade with 0.25% bupivacaine is an effective, inexpensive, and easily implementable method for postoperative analgesia in hand surgery.
    • The technique demonstrates a favorable balance between pain relief and potential complications.