Infraclavicular block causes less discomfort than axillary block in ambulatory patients
| Autor: | Zbigniew J. Koscielniak-Nielsen, Henrik B. Rasmussen, T P. Nielsen, L. Hesselbjerg, Yavuz Gürkan |
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| Rok vydání: | 2005 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Adolescent medicine.drug_class Visual analogue scale Elbow Mepivacaine Block (permutation group theory) law.invention Randomized controlled trial law medicine Humans Brachial Plexus Aged Aged 80 and over Ropivacaine Local anesthetic business.industry Nerve Block General Medicine Middle Aged Surgery Anesthesiology and Pain Medicine medicine.anatomical_structure Ambulatory Surgical Procedures Anesthesia Axilla Ambulatory Female business medicine.drug |
| Zdroj: | Acta Anaesthesiologica Scandinavica. 49:1030-1034 |
| ISSN: | 1399-6576 0001-5172 |
| DOI: | 10.1111/j.1399-6576.2005.00708.x |
| Popis: | Background: This randomized study was designed to compare discomfort caused by axillary or infraclavicular blocks in ambulatory patients. We identified which of the three block components, needle passes, local anesthetic (LA) injections, and electrical stimulations, is most painful and quantified pain intensity on a visual analog scale (VAS 0–100). We also assessed onset and quality of analgesia, adverse events and patients' acceptance. Methods: Eighty patients were studied. In axillary group – A, four LA injections were made after stimulating median, musculocutaneous, ulnar and radial nerves. In infraclavicular group – I, the whole LA volume was injected after stimulating median or ulnar or radial nerves. Patients were ready for surgery when they had analgesia/anesthesia distal to the elbow. Results: Median intensity of block discomfort was 22 in A group and 10 in I group (P |
| Databáze: | OpenAIRE |
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