5 Our Experience in Supraclavicular Brachial Plexus Block by Ultrasonography compared with Conventional Method in Upper Limb Surgeries
Journal Title: Indian journal of applied basic medical sciences - Year 2016, Vol 18, Issue 26
Abstract
Introduction: Ultrasound allows direct visualization of peripheral nerves,the block needle and local anesthetic disribution. The conventional technique of supraclavicular brachial plexus block being a blind technique may be associated with higher failure rates and injury to nerves and vascular structures,intravascular injection of local anesthetic agent, and injury to dome of pleura and pneumothorax. Hence Ultrasound (USG) is the method offering safe block of superior quality by optimal needle positioning. Method: This study was conducted among 60 patients posted for elective upper limb surgery of ASA I and II. In one group (n=30) ultrasonography(USG) guided technique was used and in second group (n=30) elecitation of paresthesia technique was used. Various parameters including procedure time, onset time for sensory block, duration of sensory block, onset time for motor block, duration of motor block, time to achieve complete block and any complications etc were observed. Results: Overall success rate was higher in USG guided group as compared to conventional method group, which was statistically significant (p <0.05). Time to perform the block was significantly shorter in USG guided group (p <0.05). Onset time for sensory block, onset time for motor block & time to achieve a complete block was also shorter in USG guided group (p value <0.05). Duration of sensory & motor block was significantly prolonged in USG guided group (p <0.05) Conclusion: Ultrasonography guided supraclavicular brachial plexus block is quick to perform, offers improved safety & accuracy in identifying the position of the nerves to be blocked with higher success rates.
Authors and Affiliations
Dr. Jagruti Satasiya, Dr. Kalashree Ravalji
Keywords
Related Articles
- EP ID EP249960
- DOI -
- Views 139
- Downloads 0
2 DETERMINATION OF LESION SEVERITY BY DOBUTAMINE STRESS ECHOCARDIOGRAPHY WHEN COMPARED WITH QUANTITATIVE CORONARY ANGIOGRAPHY: A RETROSPECTIVE COHORT STUDY.
ABSTRACT Background: Exercise stress testing is done commonly for the detection of coronary artery disease (CAD). It is a non-invasive method for CAD detection. In certain patients where exercise testing is not possi...
6 “Are Electromagnetic Field Radiation Targets Blood Cells?
In world of globalization is very difficult not to have technology. But with technology, come certain hazards. The only way to beat these is again, better technology. A cell phone technology is a best example of electrom...
26 COMPARATIVE STUDY OF EFFECT OF MEDITATION ON RESTING CARDIOVASCULAR PARAMETERS IN HEALTHY MEDITATORS AND NONMEDITATORS.
Background: Meditation has been practiced all over the world, to increase calmness and physical relaxation, to improve psychological balance, to cope with illness, or to enhance overall health and well-being. Meditation...
14 Non operative vs operative management of blunt hepatic injury: A Retrospective Study
The liver is one of the most frequently damaged organs and remains the most common cause of death following blunt abdominal trauma. During the last century, the management of blunt force trauma to the liver has changed f...
13 IMPACT OF PEER ASSISTED LEARNING ON YEAR 1 MEDICAL STUDENTS PEER ASSISTED LEARNING MODULE AS AN TEACHING LEARNING METHOD
Back ground Medical council of India recommends improving quality of training of IMGs by expanding the role of doctors/IMGs from Clinician to Communicator, Leadership and member of the health care team. MCI also recomm...