| Autor: |
Gonapa, Bhavani, Ranganadh, T., Soujanya, S. Uma, Aslam, Shaik, R., Sharmila, Megha, K. |
| Předmět: |
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| Zdroj: |
European Journal of Cardiovascular Medicine; 2024, Vol. 14 Issue 4, p82-92, 11p |
| Abstrakt: |
Introduction: Peripheral nerve blocks prove beneficial by avoiding stress response and adverse effects of general anesthesia. Brachial plexus blockade is useful for upper limb surgeries. As the conventional paresthesia technique is a blind technique, it may have a high rate of failure, cause injury to nerves and vessels. Ultrasound usage allowed better localization of the nerve/plexus. It has improved the success rate as well as safety margin. Hence, this study was planned for comparing the efficacy of conventional supraclavicular brachial plexus block with ultrasound-guided technique. Methods: After obtaining the Institutional ethical committee approval and patient consent, 60 patients ranging in age from 18 to 60, undergoing elective upper limb surgeries under the supraclavicular block were enrolled in this prospective randomized study, randomly divided into two groups: Group US and Group C. Both groups received 0.5% bupivacaine and 2 % lignocaine with Adrenaline according to the body weight . The parameters compared between the two groups were procedure time, sensory blockade, onset and duration, motor blockade start and duration, block effectiveness and complications. The failed blocks were supplemented with general anesthesia. Results: Demographic data were comparable in both groups. In the ultrasoundguided technique onset of sensory and motor blockade is faster with prolonged duration and reduced analgesic requirement compared to conventional technique. The conventional method had a slightly higher rate of complications but the difference was not significant. The overall effectiveness of the block was significantly better in ultrasound-guided technique but took slightly longer than the usual. Conclusion: Ultrasound-guided supraclavicular block had rapid onset, prolonged blockade with reduced analgesic requirements and lower complications than conventional technique with only limitation of a little longer performance time. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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