A Study to Compare Efficacy of The Supraclavicular (Sc BPB) and Axillary (Ax BPB) Brachial Plexus Block
Journal Title: International Journal of Contemporary Medical Research - Year 2016, Vol 3, Issue 1
Abstract
Introduction: Surgical anaesthesia of upper limb can be obtained by nueral blockade of brachial plexus. We can approach the brachial plexus at any point, right from the level of the nerve roots to that of isolated peripheral nerves.Supraclavicular approach is the most widely used method. When there is inability to use this approach due to local pathology or posture etc, the Axillary approach is another alternative, which is safe and easy to perform. Objective of the study was to compare the Supraclavicular and Axillary approaches using peripheral nerve stimulator. Material and Method:In this study, 60 patients of ASA physical status grade I and II, scheduled to undergo operative procedures of upper extremity below distal end humerus were randomly divided into two groups, Sc BPB group and Ax BPB group, 30 patients in each group. Results: Sc BPB group showed a longer duration of analgesia. Muscle relaxation was adequate in 90% of cases in both the groups. In Sc BPB group 6 % while in Ax BPB group 10 % cases had nerve sparing. Difference between both the groups was statistically insignificant. Accidental vessel puncture was seen in 10 % (3) cases in Sc BPB group while in Ax BPB group no complications were seen. No incidence of haematoma formation or pneumothorax was seen. No other complications were seen in either group. Conclusion: Onset of action in Supraclavicular approach is faster than Axillary approach though both the techniques for brachial plexus block are safe and simple to perform due to easy surface landmarks. In both the groups motor action starts earlier than sensory
Authors and Affiliations
Vaijayanti S. Gandhi, Basavaraj V. Modi
Keywords
Related Articles
- EP ID EP424946
- DOI -
- Views 107
- Downloads 0
Fetus Papyraceus: A Rare Case Report
Introduction: Fetus papyraceus is a rare condition which defines a mummified fetus occurring in multiple gestations where one fetus dies in utero and is incorperated between the uterine wall and the membranes of living f...
Correlation of HbA1c with Mortality and severity in Acute Coronary Syndrome
Introduction: Coronary Artery Disease (CAD) has emerged as the single most important cause of death worldwide and as well as in India. Diabetes Mellitus (DM) is a major risk factor for CAD and there appears to be a grade...
Endodontic Management of a Rare Anatomic variation Radix Entomolaris of Mandibular I Molar- Case Report
Introduction: For successful endodontic treatment a comprehensive knowledge of the root canal anatomy is a basic prerequisite. Usually the permanent mandibular first molar has 2 roots mesial and distal. But they can show...
Oral Hygiene Practices, Beliefs and Knowledge Towards Dental Care
Introduction: oral health care includes those practices which are undertaken to improve and maintain good oral health. The KAP method i.e. knowledge, attitude and practice is one of the most commonly used method which se...
The Effects of Oral Sodium Bicarbonate Treatment on Hematological Parameters in Patients with Chronic Kidney Disease During the Predialysis Period
Introduction: Chronic renal disease (CKD) is a serious public health problem with high treatment costs, that leads to an increase in mortality and morbidity, and impairs the quality of life. This study was performed to e...