Year 2012, Volume 42, Issue 3, Pages 457 - 464 2012-03-01

The effects of axillary block using the multiple injection method with ropivacaine in uremic and nonuremic patients*
The effects of axillary block using the multiple injection method with ropivacaine in uremic and nonuremic patients*

Hüyla ÇEVİK [1] , Ahmet MAHLİ [2] , Demet COŞKUN [3]

101 355

To compare the sensory and motor block quality in axillary brachial plexus block using the multiple injection method with ropivacaine in uremic and nonuremic patients. Materials and methods: Examined were 60 patients scheduled for orthopedic surgery of the distal upper extremity (nonuremic group: group N, n = 30) or creation of an arteriovenous fistula (uremic group: group U, n = 30) with an axillary brachial plexus block. The median, radial, ulnar, and musculocutaneous nerves were selectively localized by nerve stimulation. After obtaining an appropriate peripheral motor response, predetermined volumes of ropivacaine (0.5%), in accordance with a formula, were selectively injected to the 4 nerves by multiple injections in both groups. Sensory and motor block were assessed. Results: At 30 min, complete sensory and motor block was observed at a rate of 95% in the ulnar nerve innervation area and 100% in the other 3 nerves in group U, whereas these rates were 95% in the musculocutaneous nerve innervation area and 100% in the other 3 nerves in group N. There was no statistically significant difference between the groups. Conclusion: Axillary brachial plexus block using the multiple injection method with ropivacaine in uremic and nonuremic patients provided a similarly good quality of the block and lack of systemic toxicity.
To compare the sensory and motor block quality in axillary brachial plexus block using the multiple injection method with ropivacaine in uremic and nonuremic patients. Materials and methods: Examined were 60 patients scheduled for orthopedic surgery of the distal upper extremity (nonuremic group: group N, n = 30) or creation of an arteriovenous fistula (uremic group: group U, n = 30) with an axillary brachial plexus block. The median, radial, ulnar, and musculocutaneous nerves were selectively localized by nerve stimulation. After obtaining an appropriate peripheral motor response, predetermined volumes of ropivacaine (0.5%), in accordance with a formula, were selectively injected to the 4 nerves by multiple injections in both groups. Sensory and motor block were assessed. Results: At 30 min, complete sensory and motor block was observed at a rate of 95% in the ulnar nerve innervation area and 100% in the other 3 nerves in group U, whereas these rates were 95% in the musculocutaneous nerve innervation area and 100% in the other 3 nerves in group N. There was no statistically significant difference between the groups. Conclusion: Axillary brachial plexus block using the multiple injection method with ropivacaine in uremic and nonuremic patients provided a similarly good quality of the block and lack of systemic toxicity.
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Primary Language tr
Journal Section Articles
Authors

Author: Hüyla ÇEVİK

Author: Ahmet MAHLİ

Author: Demet COŞKUN

Dates

Publication Date: March 1, 2012

Bibtex @ { tbtkmedical147109, journal = {Turkish Journal of Medical Sciences}, issn = {1300-0144}, eissn = {1303-6165}, address = {TUBITAK}, year = {2012}, volume = {42}, pages = {457 - 464}, doi = {}, title = {The effects of axillary block using the multiple injection method with ropivacaine in uremic and nonuremic patients*}, key = {cite}, author = {ÇEVİK, Hüyla and MAHLİ, Ahmet and COŞKUN, Demet} }
APA ÇEVİK, H , MAHLİ, A , COŞKUN, D . (2012). The effects of axillary block using the multiple injection method with ropivacaine in uremic and nonuremic patients*. Turkish Journal of Medical Sciences, 42 (3), 457-464. Retrieved from http://dergipark.org.tr/tbtkmedical/issue/12298/147109
MLA ÇEVİK, H , MAHLİ, A , COŞKUN, D . "The effects of axillary block using the multiple injection method with ropivacaine in uremic and nonuremic patients*". Turkish Journal of Medical Sciences 42 (2012): 457-464 <http://dergipark.org.tr/tbtkmedical/issue/12298/147109>
Chicago ÇEVİK, H , MAHLİ, A , COŞKUN, D . "The effects of axillary block using the multiple injection method with ropivacaine in uremic and nonuremic patients*". Turkish Journal of Medical Sciences 42 (2012): 457-464
RIS TY - JOUR T1 - The effects of axillary block using the multiple injection method with ropivacaine in uremic and nonuremic patients* AU - Hüyla ÇEVİK , Ahmet MAHLİ , Demet COŞKUN Y1 - 2012 PY - 2012 N1 - DO - T2 - Turkish Journal of Medical Sciences JF - Journal JO - JOR SP - 457 EP - 464 VL - 42 IS - 3 SN - 1300-0144-1303-6165 M3 - UR - Y2 - 2019 ER -
EndNote %0 Turkish Journal of Medical Sciences The effects of axillary block using the multiple injection method with ropivacaine in uremic and nonuremic patients* %A Hüyla ÇEVİK , Ahmet MAHLİ , Demet COŞKUN %T The effects of axillary block using the multiple injection method with ropivacaine in uremic and nonuremic patients* %D 2012 %J Turkish Journal of Medical Sciences %P 1300-0144-1303-6165 %V 42 %N 3 %R %U
ISNAD ÇEVİK, Hüyla , MAHLİ, Ahmet , COŞKUN, Demet . "The effects of axillary block using the multiple injection method with ropivacaine in uremic and nonuremic patients*". Turkish Journal of Medical Sciences 42 / 3 (March 2012): 457-464.
AMA ÇEVİK H , MAHLİ A , COŞKUN D . The effects of axillary block using the multiple injection method with ropivacaine in uremic and nonuremic patients*. Turkish Journal of Medical Sciences. 2012; 42(3): 457-464.
Vancouver ÇEVİK H , MAHLİ A , COŞKUN D . The effects of axillary block using the multiple injection method with ropivacaine in uremic and nonuremic patients*. Turkish Journal of Medical Sciences. 2012; 42(3): 464-457.