A study to compare the effects of supraclavicular perivascular technique and infraclavicular brachial plexus blockade for below elbow surgeries
Journal Title: Medpulse International Journal of Anesthesiology - Year 2018, Vol 8, Issue 2
Abstract
Background: The brachial plexus provides the motor innervations and nearly all the sensory supply of the upper limb. Supraclavicular block is one of the most widely used techniques of brachial plexus block. At the lateral border of the anterior scalene muscles the brachial plexus passes down between the first rib and clavicle to enter the axilla. Objective: To compare the efficacy of supraclavicular perivascular technique and vertical infraclavicular brachial plexus block, using nerve locator for below elbow surgeries. Materials and Methods: This is a prospective randomized study conducted at Chengalpattu Medical College and Hospital, Chengalpattu. Eighty patients of ASAgrade I or II of either sex undergoing below elbow surgeries (mostlyorthopedicandplastic surgeries) were randomly allocated into group S andgroup I. Each group comprises of 40 patients. Surgery was done undervertical Infraclavicular approach of Brachial plexus Block in Group I andunder Supraclavicular perivascular approach of Brachial plexus block inGroupS.Results: In our study, the mean age of patients in Group S was 33.52 years and in group I it was 32.88 years The mean weight of patients in both the groups S and I was 58.1 and 58.62 respectively. The total duration of motor Blockade was found to be 464.1 min in Group S and 452.5 in group I The post-operative analgesia time was also found to be not significant between the two groups with mean time of 429.49 in group S and 414 in group I. Conclusion: From our study it is inferred that nerve locator guided Infraclavicular block of brachial plexus is similar to nerve locator guided supraclavicular block in the form of ease of technique, onset and duration of sensory and motor blockade and on complication rate.
Authors and Affiliations
E Shamugavali, Ezhil Raja
Keywords
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- DOI 10.26611/1015821
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