General anesthesia versus ultrasound-guided axillary block for ambulatory hand surgery: randomized prospective study | ||||
| Ain-Shams Journal of Anesthesiology | ||||
| Volume 14, Issue 1, January 2022 PDF (1.29 MB) | ||||
| DOI: 10.1186/s42077-022-00243-0 | ||||
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| Authors | ||||
Mennat Allah Mohamed Abdel Badiea  ; Zakarya Abdel Aziz Moustafa; Azza Atef Abd El Alem; Wael Abdel Moneim Mohamed; Marwa Ahmed Khairy Elbeialy
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| Abstract | ||||
| Background In upper limb surgery, both axillary brachial plexus block (ABPB) and general anesthesia (GA) have been widely used. ABPB is one of the most popular and widely used procedures for brachial plexus blocks, as well as for achieving upper limb regional anesthesia. Results We reviewed data from 40 patients for the primary outcome and found that group A (had general anesthesia) had a statistically significant higher postoperative VAS score than group B (got ultrasound guided axillary block), (-value 0.05). In terms of secondary outcomes, postoperative nausea and vomiting were significantly higher in group A patients (-value 0.001), and patient satisfaction was significantly higher in group B patients compared to group A patients (-value 0.001). Furthermore, the Pittsburgh quality index (PSQI) for postoperative sleep disruptions was considerably higher in group A than in group B at 24 h postoperatively and at the first and second weeks postoperatively (-value 0.001). Statistically, there is no difference between the two groups in the third week and one month after surgery. Conclusions When compared to general anesthesia, ultrasound-guided axillary brachial plexus block offered good anesthesia, great analgesia, and a better postoperative sleep result after hand surgery. | ||||
| Keywords | ||||
| Axillary brachial plexus block; general anesthesia; Pain; Sleep | ||||
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