الفهرس 
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Abstract
The current study aimed to discuss postoperative analgesic difference between general anaesthesia and interscalene brachial plexus block in shoulder surgeries and which of them can provide a proper satisfaction to the patient. Regional anaesthesia provides a satisfactory postoperative analgesia, decreases the opoid requirements and helps in early rehabilitation.
This is a prospective double – blinded, randomized controlled Trial, After Approval is obtained from the research ethics committee of anesthesia and intensive care department, Ain Shams University.
Overall, our findings are consistent with the literature and confirm that regional anesthesia for arthroscopic shoulder surgery is associated with less postoperative pain, and reduced analgesic requirements (and associated adverse effects) when compared with GA. Our data also suggest that ISB may be beneficial even when administered postoperatively upon emergence from GA.
Interscalene brachial plexus block is associated with reduced pain scores upon discharge from the PACU and reductions in analgesic consumption, factors that can potentially prolong patients’ stay in the PACU. Nevertheless, a future prospective randomized-controlled trial will be necessary to confirm these findings and determine the absolute relative efficacy, safety profile, and associated financial implications associated with each method