The Analgesic Efficacy of Suprascapular Nerve Block During and after laproscopic Cholecystectomy under Spinal Anesthesia

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Dr. Asaad Kadhim Nazair Basra, Ali KADHIM Nazir, Anna Warjan Krikor, and AseelShafiq Ghareeb, “The Analgesic Efficacy of Suprascapular Nerve Block During and after laproscopic Cholecystectomy under Spinal Anesthesia”, ijmhs, vol. 12, no. 10, pp. 2014–2022, Oct. 2022.
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Abstract

Background: Supra-scapular nerve block (SSNB) is a safe and effective method to treat pain in chronic diseases .The suprascapular nerve is a mixed motor and sensory peripheral nerve arising from the superior trunk of the brachial plexus. The nerve supplies motor innervation to shoulder muscles and sends sensory branches to multiple places in the shoulder region. A shoulder block without lung affection is desirable. We study The Analgesic Efficacy of suprascapular nerve block during and after laparoscopic cholecystectomy under spinal Anesthesia. We hypothesized that local anesthetic would provide non-inferior block success rate with better preserved lung function. Suprascapular nerve block reduced the odds of postoperative nausea and vomiting and improved patient satisfaction. Aims: To evaluate the analgesic efficacy of right suprascapular nerve block during and after laparoscopic cholecystectomy done under spinal anesthesia during surgery and over the first postoperative 12 hours. Subjects and methods: An interventional trial done for Consecutive newly diagnosed cases of cholelithiasis who reported to the Department for surgery and who met specific criteria of American Society of Anaesthesiologist′s ASA grade I and II ,of age between 30 and 60 years of age. Exclusion criteria implemented on large number of patients, the study extended alloverthe past three years in AlJumhori hospital. Data analysis was done by SPSS (V-26), where P value <0.05 consider significant. Results: A Thirty cases underwent Interventional trials subdivided systemically in to two groups, where there was no significant statistical difference according to their sex when crossly matched with the type of intervention also there was no significant statistical difference regarding the mean of their age. Severity of pain had a statistical difference when compared according to type of interventional Trials at 3 different situations of comparison during the intra-operative assessment and post-operative assessment at 6 hours and 12 hours all of p values where less than 0.05. All of pairs regarding the comparison of pre and intra operative assessment regarding pulse rate, systolic blood pressure and diastolic blood pressure show significant statistical difference when assessed by t-test the first pair show strong positive correlation while the second one show weak positive correlation finally the third one show equivocal correlation. Conclusion: Analgesic Efficacy of Suprascapular Nerve Block During and after laproscopic Cholecystectomy under Spinal Anesthesia was an efficacious, safe, potent type of intervention in both occasion

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