Our Experience in Plexus Brachialis Block Using Ultrasonography and Nerve Stimulator

Autor: Cem Kaçar, Ebru Tarıkçı Kılıç, Hakan Akelma, Ayhan Kaydu, Yakup Aksoy, Ömer Fatih Şahin, Osman Uzundere, Erhan Gökçek
Jazyk: English<br />Turkish
Rok vydání: 2018
Předmět:
Zdroj: Haseki Tıp Bülteni, Vol 56, Iss 2, Pp 99-103 (2018)
Druh dokumentu: article
ISSN: 1302-0072
2147-2688
DOI: 10.4274/haseki.39974
Popis: Aim: To compare our experiences of the brachial plexus block (BPB) using nerve stimulator (NS) and ultrasonography (US) for upper limb surgery. Methods: This retrospective study was designed in 186 American Society of Anesthesiologists I-II-III patients undergoing upper extremity surgery under BPB (supraclavicular, interscalene and infraclavicular block) by US guidance and NS. The patients were divided into two groups as US group (n=118) and NS group (n=68). Data on demographical characteristics, premedication, position, regional block approach, number of stimulator needles, dose of local anesthetics, and success rate were recorded. Results: Demographic data were similar and no statistically difference was recorded between the groups in nerve block method (interscalene, supraclavicular, infraclavicular) (p>0.05). 20 mL 0.5% bupivacaine + 10 mL 2% lidocaine were administered. Blocks were performed with a sedation regimen (1-3 mg midazolam). There was a significant difference in success rates between US (94.1%) and NS groups (80.9%) (p
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