An open label randomized comparative study on axillary vis a vis supraclavicular approaches for brachial plexus block in forearm surgery
| Autor: | Amar Nath Gupta, K K Das |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Bupivacaine
medicine.medical_specialty supraclavicular block business.industry regional block lcsh:R lcsh:Medicine upper limb surgery Surgery Upper limb surgery medicine.anatomical_structure Forearm Informed consent Anesthesia Medicine Upper limb Regional block General Agricultural and Biological Sciences business Brachial plexus axillary block medicine.drug Brachial plexus block |
| Zdroj: | Asian Journal of Medical Sciences, Vol 8, Iss 1, Pp 71-76 (2017) |
| ISSN: | 2091-0576 2467-9100 |
| DOI: | 10.3126/ajms.v8i1.14937 |
| Popis: | Aims and Objectives: Regional anesthesia like brachial plexus blocks are increasingly practiced now a day’s avoiding the complications of general anesthesia for upper limb surgery. Among the many techniques axillary and supraclavicular approaches are common though both have its merits and demerits. This study was planned to compare these two techniques in terms of onset, completion time of sensory and motor blockade, its duration and overall success during upper limb surgeries. Materials and Methods: After obtaining institutional ethics committee approval and written informed consent, 100 patients of American Society of Anesthesiologists grade I or II scheduled for forearm and hand surgeries were included in the study and were randomly allocated into two groups. 30ml of the 0.5% bupivacaine was injected either by supraclavicular or axillary route by a single trained experienced anesthetist. The onset and completion time of sensory and motor blockade, its duration and overall success were noted and the collected data was statistically analyzed.Results: The patients (n=100) predominantly female (56%) with comparable demographic profile found to have equal efficacy in onset of sensory block, extent of motor blockade, duration of block (analgesia) in both the group. However considering overall effectiveness of the techniques including their failure rates, axillary approach appeared to be more acceptable and a better technique (p |
| Databáze: | OpenAIRE |
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