Infraclavicular brachial plexus block versus humeral block in trauma patients: a comparison of patient comfort
| Autor: | Lamia Idabouk, Dan Benhamou, Luc Nguyen, Olivier Fourcade, Vincent Minville, Jean-Claude Pourrut, Jonathan Claassen, Clément Chassery |
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| Rok vydání: | 2006 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.drug_class Visual analogue scale medicine.medical_treatment Block (permutation group theory) Medicine Humans Brachial Plexus Prospective Studies Prospective cohort study Patient comfort Aged Pain Measurement business.industry Local anesthetic Nerve Block Humerus Middle Aged Clavicle Surgery Infraclavicular brachial plexus block Anesthesiology and Pain Medicine Patient Satisfaction Anesthesia Nerve block Wounds and Injuries Female business Brachial plexus Anesthesia Local |
| Zdroj: | Anesthesia and analgesia. 102(3) |
| ISSN: | 1526-7598 |
| Popis: | In this prospective randomized study, we compared humeral block (HB) and infraclavicular brachial plexus block (ICB) with pain caused by the block as a primary outcome, assuming that ICB would cause less pain than HB. Patients undergoing emergency upper limb surgery were included in this study and received either ICB (group I, n = 52 patients) or HB (group H, n = 52 patients). Patients were asked to quantify the severity of the pain during the procedure using a visual analog scale from 0 to 100 mm and to identify which of the 4 components of the procedure was most unpleasant (skin transfixion, needle redirection in search of the nerves, local anesthetic injections, or electrical stimulation). The block was assessed every 5 min for 30 min after completion of the block. Overall visual analog scale scores for the block were 35 +/- 27 mm in group H versus 19 +/- 18 mm in group I (P < 0.0011). Electrical stimulation was the most unpleasant part of the block (group H, 29 +/- 15 mm versus group I, 15 +/- 10 mm) (P < 0.019). Time to perform the block was significantly shorter in group I (ICB, 6 +/- 4 min versus HB, 10 +/- 4 min; P < 0.0001). The onset time was 13 +/- 7 min for ICB and 9 +/- 3 min for HB (P < 0.05). No serious complications were observed. In summary, ICB is less painful, compared with HB, with a similar success rate. |
| Databáze: | OpenAIRE |
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