Regional anesthesia

Rebound pain and postoperative pain profile following brachial plexus block compared to general anaesthesia—An observational study

Acta Anaesthesiol ScandPublished Prospective observational cohort study

Authors' conclusion

The IPS and NRS was initially lower in the RA group, increased with fading of the block until equal to the GA group and equal thereafter.

Study context

Population
Patients receiving elective hand and forearm surgery, University Hospital Marburg, May 2020–September 2022132 analysed
Participants
132 patients
Exposure
Axillary brachial plexus anaesthesia vs general anaesthesia (GA)
  • RAn = 66
  • GAn = 66reference
Outcome
Integrated pain scores (IPS)
Follow-up
Within 24 h postoperatively
Methodological detailssingle-centre, stratified
  • Single-centre
  • Stratified

Main finding

As reported in the abstract

IPS
  • Integrated pain scores (IPS) equalised after 3 h at the ward
  • RA vs GA: P < 0.001
  • RA vs GA: P < 0.001

Observational data: associations, not effects.

Secondary outcomes

Rebound pain: pain scores overshoot and opioid consumption

No overshoot in pain scores or increased opioid consumption detected

Patient satisfaction and postoperative recovery

Comparable between both groups

Original publication

Rebound pain and postoperative pain profile following brachial plexus block compared to general anaesthesia—An observational study. Acta Anaesthesiol Scand. Published 29 August 2023. doi:10.1111/aas.14318

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