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Comparison of Nerve Stimulator and Ultrasonography Application for Brachial Plexus Anesthesia

Year 2012, , 10 - 13, 01.01.2012

Beyazıt Zencirci Hafize Öksüz

https://doi.org/10.5152/balkanmedj.2011.012

Abstract

Objective: Axillary brachial plexus block can be achieved through various techniques in upper extremity operations. The purpose of our study was to compare the efficacy of axillary brachial plexus block using an ultrasound technique with peripheral nerve stimulation technique. Material and Methods: Sixty patients for whom elective forearm and hand surgery was planned were included in the study. Group 1 (n=30) was given an axillary block by using ultrasonography, Group 2 (n=30) was given axillary block by using a peripheral nerve stimulator. The quality and time of onset of the sensorial and motor blockade were assessed. Results: The average time needed to perform the axillary brachial plexus block was similar in both groups. Although not significant statistically, it was observed that the sensory block was achieved earlier in Group 1. However, the degree of motor blockade was more intense in Group 1 than in Group 2. Conclusion: The ultrasound-guided axillary brachial plexus block is a preferable method with faster onset time and better quality of motor blockade compared to the PNS technique.

Keywords

Nerve stimulator brachial plexus; ultrasonography regional anesthesia axillary nerve block

References

  • Casati A. Local Anesthetics. In: Chelly JE, Casati A, Fanelli G, edi- tors. Continuous Peripheral Nerve Blocks: An Illustrated Guide. Milano: Mosby; 2001. p.37-44.
  • Nielsen ZK. Axillary Brachial Plexus Block. In: Hadzic A, editor. Textbook of Regional Anesthesia and Acute Pain Management. New York: The McGraw-Hill; 2007. p.441-51.
  • Wedel DJ, Horlocker TT. Nerve Blocks. In: Miller RD, editor. An- aesthesia 6th ed. Vol 2. New York: Churchill Livingstone; 2005. p.1685-95.
  • Urmey WF. Upper Extremity Blocks. In: Brown DL, editor. Region- al Anesthesia and Analgesia. Philadelphia: W.B.Saunders Com- pany; 1996. p.266-8.
  • Gray AT. Role of ultrasound in startup regional anesthesia prac- tice for outpatients. Int Anesthesiol Clin 2005;43:69-78.
  • Lavoie J, Martin R, Tétrault JP, Côté DJ, Colas MJ. Axillary plexus block using a peripheral nerve stimulator: single or multiple injec- tions. Can J Anaesth 1992;39:583-6. Balkan Med J 2012; 29: 10-3
  • Nerve Stimulator and Ultrasonography for Brachial Plexus Anesthesia

Comparison of Nerve Stimulator and Ultrasonography Application for Brachial Plexus Anesthesia

Year 2012, , 10 - 13, 01.01.2012

Beyazıt Zencirci Hafize Öksüz

https://doi.org/10.5152/balkanmedj.2011.012

Abstract

References

  • Casati A. Local Anesthetics. In: Chelly JE, Casati A, Fanelli G, edi- tors. Continuous Peripheral Nerve Blocks: An Illustrated Guide. Milano: Mosby; 2001. p.37-44.
  • Nielsen ZK. Axillary Brachial Plexus Block. In: Hadzic A, editor. Textbook of Regional Anesthesia and Acute Pain Management. New York: The McGraw-Hill; 2007. p.441-51.
  • Wedel DJ, Horlocker TT. Nerve Blocks. In: Miller RD, editor. An- aesthesia 6th ed. Vol 2. New York: Churchill Livingstone; 2005. p.1685-95.
  • Urmey WF. Upper Extremity Blocks. In: Brown DL, editor. Region- al Anesthesia and Analgesia. Philadelphia: W.B.Saunders Com- pany; 1996. p.266-8.
  • Gray AT. Role of ultrasound in startup regional anesthesia prac- tice for outpatients. Int Anesthesiol Clin 2005;43:69-78.
  • Lavoie J, Martin R, Tétrault JP, Côté DJ, Colas MJ. Axillary plexus block using a peripheral nerve stimulator: single or multiple injec- tions. Can J Anaesth 1992;39:583-6. Balkan Med J 2012; 29: 10-3
  • Nerve Stimulator and Ultrasonography for Brachial Plexus Anesthesia
There are 7 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Beyazıt Zencirci This is me

Hafize Öksüz This is me

Publication Date January 1, 2012
Published in Issue Year 2012

Cite

APA Zencirci, B., & Öksüz, H. (2012). Comparison of Nerve Stimulator and Ultrasonography Application for Brachial Plexus Anesthesia. Balkan Medical Journal, 2012(1), 10-13. https://doi.org/10.5152/balkanmedj.2011.012
AMA Zencirci B, Öksüz H. Comparison of Nerve Stimulator and Ultrasonography Application for Brachial Plexus Anesthesia. Balkan Medical Journal. January 2012;2012(1):10-13. doi:10.5152/balkanmedj.2011.012
Chicago Zencirci, Beyazıt, and Hafize Öksüz. “Comparison of Nerve Stimulator and Ultrasonography Application for Brachial Plexus Anesthesia”. Balkan Medical Journal 2012, no. 1 (January 2012): 10-13. https://doi.org/10.5152/balkanmedj.2011.012.
EndNote Zencirci B, Öksüz H (January 1, 2012) Comparison of Nerve Stimulator and Ultrasonography Application for Brachial Plexus Anesthesia. Balkan Medical Journal 2012 1 10–13.
IEEE B. Zencirci and H. Öksüz, “Comparison of Nerve Stimulator and Ultrasonography Application for Brachial Plexus Anesthesia”, Balkan Medical Journal, vol. 2012, no. 1, pp. 10–13, 2012, doi: 10.5152/balkanmedj.2011.012.
ISNAD Zencirci, Beyazıt - Öksüz, Hafize. “Comparison of Nerve Stimulator and Ultrasonography Application for Brachial Plexus Anesthesia”. Balkan Medical Journal 2012/1 (January 2012), 10-13. https://doi.org/10.5152/balkanmedj.2011.012.
JAMA Zencirci B, Öksüz H. Comparison of Nerve Stimulator and Ultrasonography Application for Brachial Plexus Anesthesia. Balkan Medical Journal. 2012;2012:10–13.
MLA Zencirci, Beyazıt and Hafize Öksüz. “Comparison of Nerve Stimulator and Ultrasonography Application for Brachial Plexus Anesthesia”. Balkan Medical Journal, vol. 2012, no. 1, 2012, pp. 10-13, doi:10.5152/balkanmedj.2011.012.
Vancouver Zencirci B, Öksüz H. Comparison of Nerve Stimulator and Ultrasonography Application for Brachial Plexus Anesthesia. Balkan Medical Journal. 2012;2012(1):10-3.