Çocuklarda üst ekstremi̇te tendon transfer cerrahi̇si̇nde uygulanan i̇nterskalen bloǧun postoperati̇f analiezi̇k etki̇nli̇ǧi̇

Objective: Interscalene block is new techniques which is used for postoperative analgesia in children. We investigated the efficacy of interscalene block in treatment of postoperative pain of children in tendon transfer cases in upper extremity. Method: Fourty patients between 2-13 ages in ASA I-III who would undergo tendon transfer surgery were enrolled in our study. After all the children in study have taken general anesthesia, in group I (n=20); interscalene block was performed by the help of ultrasonography after the operation. This block was not applied in group II by local anesthetics; instead of serum physiologic was given. In both groups, 30 minutes before the end of the operation, patient controlled analgesia (PCA) was started. Visual analogue scores (VAS), children's and infant's postoperative pain scores (CHIPPS), desired and given PCA analgesic amounts, side effects, family satisfaction and additional analgesic drug usages in postoperative 1., 6., 12., 24., 36., 48., hours were recorded. Results: VAS scores were higher at 1., 6., 12., 24., 36. and 48. hours in group II (p<0.05). CHIPPS scores were lower in group I at 1., 6., 12., 24. hours (p< 0.05). The required analgesic amount was lower in group I. Family satisfaction was higher in group I (p< 0.05). No other analgesic drug was given in group I. The rate of nausea was lower in group I (p< 0.05). Conclusion: In patients in which interscalene block was performed required analgesic amount was lower in postoperative period and family satisfaction was higher.