Lateral approach versus conventional approach supraclavicular block for forearm surgeries. A prospective randomized controlled study
Journal Title: Indian Journal of Clinical Anaesthesia - Year 2018, Vol 5, Issue 2
Abstract
Background and Aims Conventional technique of supraclavicular block is associated with direct injury to the vessels nerves and pleura which can be minimized with lateral approach Here we compared lateral with conventional approach supraclavicular block given for forearm surgeriesMaterials and Methods After getting approval from ethical scientific committee SSG hospital Vadodara this randomized prospective single blinded study was conducted from October 2014 to October 2015 60 patients of either gender between 18 to 60 years of ASA grade I and II undergoing forearm surgeries were enrolled Those who refused having anatomical distortion or infection of local site and pregnant patients were excluded After doing randomization by computer method Group C n30 received conventional and Group L n 30 received lateral approach supraclavicular block using nerve locator and total 35 ml of Inj Lignocaine with adrenaline 12000007mgkg Inj Bupivacaine 2 mgkg with Inj Sterile water was injected Patients were evaluated for technical difficulty characteristics of sensory and motor blockade duration of postoperative analgesia and complicationsResults Statistical analysis was done using student t test with Medcalc software PConclusion Lateral approach of supraclavicular block is a safe alternative to conventional approach Keywords Supraclavicular block Forearm orthopaedic surgeries
Authors and Affiliations
Amit Vadhel, Devyani Desai, M R Upadhyay
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