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SAS Journal of Surgery | Volume-11 | Issue-01
Optimizing Anesthetic Techniques: Special Brachial Plexus and Cutaneous Blocks in Clavicle Fracture Surgeries in Bangladesh
Dr. Afruza Nadia Nujhat, Dr. Farzana Sharmin, Dr. Mohammod Shajedur Rahman, Dr. TM Fahad Nasif, Dr. Tania Sharmin, Dr. Mohammad Saiduzzaman, Dr. Abu Mohammad Abdullah Pervej, Dr. Debaroti Das Gupta, D
Published: Jan. 13, 2025 | 37 41
DOI: https://doi.org/10.36347/sasjs.2025.v11i01.009
Pages: 43-49
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Abstract
Background: This study compares the efficacy, safety, and resource utilization of brachial plexus + cutaneous nerve blocks (RAG) versus conventional anesthesia (CAG) in patients undergoing clavicle fracture surgeries. Methods: A total of 100 patients were enrolled and equally divided into the RAG (n=50) and CAG (n=50) groups. Baseline characteristics, intraoperative and postoperative outcomes, postoperative complications, length of hospital stay, and resource utilization were evaluated. Pain control was assessed using the Visual Analog Scale (VAS), and patient satisfaction was measured with a satisfaction score. Results: Baseline characteristics were comparable between the groups. Significant differences were observed in postoperative pain control, with the RAG group demonstrating lower VAS scores at all postoperative intervals (p < 0.001). Patient satisfaction was significantly higher in the RAG group (9.5 ± 0.8 vs. 8.3 ± 1.3, p < 0.001). Although no significant differences were found in respiratory depression, nausea, or wound infections, the RAG group showed trends toward reduced nausea and prolonged recovery. The RAG group also had a significantly shorter length of hospital stay (2.8 ± 0.7 days vs. 3.4 ± 1.0 days, p < 0.01) and reduced supplemental analgesic use (20% vs. 50%, p < 0.001). Ultrasonographic guidance was used in 80% of RAG cases. Conclusion: Brachial plexus and cutaneous nerve blocks provide superior postoperative pain control, greater patient satisfaction, and shorter recovery times compared to conventional anesthesia. These advantages, coupled with reduced reliance on supplemental analgesics, make regional anesthesia a more efficient and cost-effective option for clavicle fracture surgeries. Ultrasonographic guidance may further enhance the application of this technique in clinical practice.