Is Jedi Grip efficient and effective in ultrasound-guided peripheral nerve blocking? A prospective, randomized, observer-blinded study
| Autor: | Semih Baskan, İsmail Aytaç, Neslihan Keklik, Betül Güven Aytaç |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Adult
Adolescent Wrist Blocking (statistics) Prilocaine Young Adult Forearm Brachial plexus blockade medicine Humans Peripheral Nerves Prospective Studies Anesthetics Local Ultrasonography Interventional Aged Bupivacaine Plexus Ultrasound Interventional Hand Strength business.industry General Medicine Middle Aged Blockade medicine.anatomical_structure Anesthesia Regional Anesthesia business Brachial plexus medicine.drug |
| Zdroj: | Brazilian Journal of Anesthesiology, Issue: ahead, Published: 13 APR 2022 Brazilian Journal of Anesthesiology, Volume: 72, Issue: 3, Pages: 372-378, Published: 13 APR 2022 |
| Popis: | Background In this prospective, randomized, controlled observer-blinded study, we aimed to compare the efficacy of a single-operator technique called the Jedi Grip and a conventional technique requiring a double operator in ultrasound–guided axillary brachial plexus blocking. Methods Ninety-two patients (ASA I–II; aged 18–65 years old) who underwent elective hand, wrist and forearm surgery were randomly assigned to Group Conventional (C) or Group Jedi (J). In both groups, axillary plexus blockade was performed by applying 5 cc of a mixture of 10 cc of 0.5% bupivacaine and 10 cc of 2% prilocaine to the ulnar, radial, median, and musculocutaneous nerves. Parameters such as the performance time and number of needle passes were recorded during the procedure. Subsequently, a blinded observer evaluated and recorded parameters related to the blockade success. The main outcome variables were the performance time and success rate (surgical anesthesia). Results The block performance time of the Jedi technique was slightly longer than that of the conventional technique (220 (50), 202 (78) s, respectively) (median (IQR); p = 0.05). No significant difference was found between groups in terms of blocking success; 9 (20%) from the conventional group and 3 (6.4%) from the Jedi group were unsuccessful (p = 0.053). No differences were found in terms of arterial puncture, and no other complications occurred in either group. The motor-sensory block onset and termination times and initial analgesia requirements were similar. Conclusion The Jedi technique may be applied safely with similar block success and performance results as the conventional technique. |
| Databáze: | OpenAIRE |
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