Öz
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.
Anahtar Kelimeler
Nerve stimulator brachial plexus; ultrasonography regional anesthesia axillary nerve block
Kaynakça
- 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
Öz
Kaynakça
- 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
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Ocak 2012 |
| Yayımlandığı Sayı | Yıl 2012 Cilt: 2012 Sayı: 1 |