| A prospective, randomized comparison between ultrasound-guided supraclavicular, infraclavicular, and axillary brachial plexus blocks. | |
| | |
MedLine Citation:
|
PMID: 19574871 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: This prospective, randomized, observer-blinded study compared ultrasound-guided supraclavicular (SCB), infraclavicular (ICB), and axillary (AXB) brachial plexus blocks for upper extremity surgery of the elbow, forearm, wrist, and hand. METHODS: One hundred twenty patients were randomly allocated to receive an ultrasound-guided SCB (n = 40), ICB (n = 40), or AXB (n = 40). Performance time (defined as the sum of imaging and needling times) and the number of needle passes were recorded during the performance of the block. Subsequently, a blinded observer recorded the onset time, block-related pain scores, success rate (surgical anesthesia), and the incidence of complications. The main outcome variable was the total anesthesia-related time, defined as the sum of performance and onset times. RESULTS: No differences were observed between the 3 groups in terms of total anesthesia-related time (23.1-25.5 mins), success rate (95%-97.5%), block-related pain scores, vascular puncture, and paresthesia. Compared with the supraclavicular and infraclavicular approaches, ultrasound-guided AXBs required a higher number of needle passes (6.1 [SD, 2.0] vs 2.0-2.6 [SD, 1.1-1.8]; both P < or = 0.001), a longer needling time (7.4 mins [SD, 2.2 mins] vs 4.9-5.5 mins [SD, 1.9-4.2 mins]; both P < or = 0.016), and a longer performance time (8.5 mins [SD, 2.3 mins] vs 6.0-6.2 mins [SD, 2.1-4.5 mins]; both P < or = 0.008). Supraclavicular blocks resulted in a higher rate of Horner syndrome (37.5% vs 0%-5%; both P < 0.001). CONCLUSION: Adjunctive ultrasonography results in similar success rates, total anesthesia-related times, and block-related pain scores for the SCB, ICB, and AXB. |
| | |
Authors:
|
De Quang Hieu Tran; Gianluca Russo; Loreto Muñoz; Cedrick Zaouter; Roderick J Finlayson |
Publication Detail:
|
Type: Journal Article; Randomized Controlled Trial |
Journal Detail:
|
Title: Regional anesthesia and pain medicine Volume: 34 ISSN: 1532-8651 ISO Abbreviation: Reg Anesth Pain Med Publication Date: 2009 Jul-Aug |
Date Detail:
|
Created Date: 2009-07-03 Completed Date: 2009-10-27 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9804508 Medline TA: Reg Anesth Pain Med Country: United States |
Other Details:
|
Languages: eng Pagination: 366-71 Citation Subset: IM |
Affiliation:
|
Department of Anesthesia, Montreal General Hospital, 1650 Ave Cedar, D10-144 Montreal, Quebec H3G-1A4, Canada. de_tran@hotmail.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Arm / surgery Axilla Brachial Plexus / ultrasonography* Clavicle Female Humans Male Middle Aged Nerve Block / adverse effects, methods* Pain / physiopathology Prospective Studies Punctures / methods Single-Blind Method Time Factors Ultrasonography, Interventional / methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Comparison of the transarterial axillary block and the ultrasound-guided infraclavicular block for u...
Next Document: Two Cases of Horner Syndrome After Administration of an Epidural Test Dose That did not Recur With S...