A prospective randomized comparison between perivascular and perineural ultrasound guided axillary brachial plexus block for upper limb surgeries
Journal Title: Indian Journal of Clinical Anaesthesia - Year 2018, Vol 5, Issue 4
Abstract
Introduction and Aims ultrasound had revolutionized the nerve block by increasing the reliability with less complications This study evaluates the block characteristics and efficacy between perivascular and perineural ultrasound guided axillary brachial plexus block for upper limb surgeriesMaterials and Methods 100 patients in the age group of 1860 years belonging to ASA III physical status undergoing axillary block in upper limb surgeries were randomly allocated into Group PN perineural n50 and Group PV perivascular n50 In both the groups Musculocutaneous nerve block done with 6ml of local anaesthetic mixture In perineural group radial nerve median nerve and the ulnar nerve were anaesthetized separately with 8ml of local anaesthetic mixture respectively In perivascular group the needle tip was then advanced dorsal to the artery corresponding to 6o clock position 24ml of local anaesthetic mixture was incremently injected The primary objective was to assess the success rate of blockade for surgery The secondary objectives were to assess the onset and duration of sensory and motor block and to study the incidence of adverse effectsResults There was no statistical significance in the success rate of blockade between the techniques PN98 and PV 96 with P value is 0362The sensory and motor onset time in PN group698 min1022 min is faster than PV group1096 min1350 with P value wasConclusion we conclude that the USG guided perineural technique as more reliable than the USG guided perivascular technique of axillary blockKeywords Perivascular Perineural Ultrasound guided Axillary brachial plexus block
Authors and Affiliations
Rajaprabhu Dr, Padmini Dr, Sevagamoorthy Dr
Keywords
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- EP ID EP476496
- DOI 10.18231/2394-4994.2018.0098
- Views 66
- Downloads 0
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