Anesthesia for upper limb surgery in a developing country: experience of infraclavicular and axillary blocks under neurostimulation
| Autor: | P. Egbohou, Sarakawabalo Assenouwe, K. Tomta, A.F. Ouro Bang’na Maman, M. Chobli, Hamza Doles Sama |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Developing country Axillary block medicine Humans Anesthesia Prospective Studies Developing Countries Neurostimulation business.industry Public Health Environmental and Occupational Health Nerve Block Clavicle Electric Stimulation Surgery Upper limb surgery Infectious Diseases Togo Axilla Arm Female business |
| Zdroj: | Médecine et Santé Tropicales. 24:200-203 |
| ISSN: | 2261-2211 2261-3684 |
| Popis: | Despite advances in regional anesthesia under ultrasound guidance, neurostimulation remains the primary technique in underequipped locations.We conducted a prospective descriptive study from January to December 2010 and June 2011 to May 2012 with as our main objective the assessment of the practices of infraclavicular and axillary nerve blocks (ICB and AXB, respectively) at Sylvanus Olympio University Hospital.105 patients (11.8%) received ICB) and 75 patients (8.5%) axillary blocks (AXB). The average minimum intensity of neurostimulation was 0.4 mA (range: 0.25-0.45 mA. The mean volume of 0.5% bupivacaine used was 30 ± 10 mL. The mean onset time of the block was 15 ± 10 min, and the mean duration of action 6 ± 4 hours. Postoperative pain was significantly worse in patients who received ICB compared to AXB [χ(2) = 19.034, p = 0.000010.05]. The cost of either type of locoregional anesthesia under neurostimulation compared with general anesthesia was 44 euros versus 105 euros.Peripheral nerve block by ICB and AXB under neurostimulation showed significant difference in terms of postoperative analgesia efficiency. Locoregional anesthesia remains too rarely practiced in underequipped countries despite its benefits and although it is particularly appropriate for these countries. |
| Databáze: | OpenAIRE |
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