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Efficacy of Right Superficial Cervical Plexus Block and Intravenous Dexmedetomidine for Relief of Shoulder Pain in Laparoscopic Surgery Under Spinal Anaesthesia: A Feasibility Study

Pradnya Milind Bhalerao, Associate Professor,Department of Anaesthesia, Government Medical College, Miraj, Maharashtra 416410, India. , Rupali Namdev Gorgile1 , Pradnya Milind Bhalerao2 , Sanyogita Vijay Naik3

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Indian Journal of Anesthesia and Analgesia 5(6):p 1057-1062, June 2018. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.5618.28

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Abstract

Background and Aim: Laparoscopic procedures are conventionally done under general anaesthesia for avoiding patient discomforts and shoulder pain due to pneumoperitoneum that occur during laparoscopy under spinal anaesthesia. Here a study was designed to look for the possibility of using right superficial cervical plexus block and intravenous dexmedetomidine infusion to reduce shoulder pain in patients undergoing laparoscopic surgery under spinal anaesthesia.

Materials and Methods: 50 patients of age between 18-60years with ASA grade I/II undergoing elective laparoscopic surgeries were given spinal anaesthesia with 0.5% hyperbaric bupivacaine and grouped as technique used. Group S (n=25) received right superficial cervical plexus block. Group D(n=25) received Dexmedetomidine  intravenously.

Result: No patients required conversion to general anaesthesia. VDS score for referred shoulder pain was statistically lower in group S compared to group D. Injection dexmedetomidine was associated with lower heart rate and blood pressure.

Conclusion: Right superficial cervical plexus block is more effective than dexmedetomidine for reduction of referred shoulder pain during laparoscopic surgery under spinal anaesthesia.

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.5618.28

Keywords

Dexmedetomidine; Laparoscopic Surgery; Referred Shoulder Pain; Right Superficial Cervical Plexus Block.

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