“A Comparative Study Between Biers’ Block And Supraclavicular Brachial Plexus Blockfor Upper Limb Below Elbow Surgeries”
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 10
Abstract
Background And Objectives: Regional anaesthesia is becoming more popular especially with the advent of safer drugs and techniques; This study was conducted in elective surgeries of upper limb below the elbow to compare two regional anaesthesia techniques i.e. th upraclavicular brachial plexus block and Bier‘s Block with respect to 1. The onset of Analgesia 2. Quality of Analgesia 3. The degree of motor blockade. 4. Duration of Analgesia 5.Complications if any. Patients And Methods: The present clinical study was carried out in 100 adult patients aged between 15 to 55 years, undergoing elective upper limb surgeries below elbow under Brachial plexus block or IVRA were enrolled they were randomly allocated into two groups as follows Group S 50 Supraclavicular brachial plexus block, Group B 50 Biers block. Results: The mean onset of analgesia with IVRA was 3.38 minutes as compared to the brachial block where the mean was 11.28 minutes. Duration of analgesia is obtained with asupraclavicular brachial block with a mean duration of 73.16 minutes compared to 46.58 minutes of Biers block. Complications: No significant complications were observed in both the groups. Conclusion: After the conclusion of the present study and suggestions from previous references, IVRA using 0.5% plain lidocaine appears to be a better alternative with regards to the onset of analgesia, the quality of analgesia and degree of motor blockade than supraclavicular brachial block using 1% plain lidocaine.
Authors and Affiliations
Dr K . P. Polaiah, Dr Manika Adari, Dr S. Sitaramaiah, Dr B. Anna Poorna Sharma
Keywords
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