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

Keywords

Related Articles

Bispectral index analysis in general anesthesia: An observational study

Introduction Bispectral index monitoring BIS is one of the major techniques used in monitoring depth of anesthesia The present study was carried out to observe the changes in BIS values visavis the changes in hemodynamic...

Comparative study of two doses of bupivacaine along with fentanyl citrate in spinal anaesthesia for short surface surgeries below umbilicus

Background: Intrathecal opioids are synergistic with local anaesthetics and intensify the sensory block without increasing the motor block and offer haemodynamic stability. This study was planned to compare the effects o...

Effects of addition of fentanyl and midazolam to local anaesthetic in lumbar epidural anaesthesia for infraumbilical surgeries

Introduction: Compared to general anaesthesia, regional anaesthetic techniques are more preferred in lower limb and lower abdominal surgeries as they have many advantages. Fentanyl a short acting opioid agonist, acts at...

A comparative study to evaluate the effectiveness of timing principle and priming principle for tracheal intubation using rocuronium

The present study is to compare the "Timing principle" and the "Priming principle" for tracheal intubation using rocuronium during balanced anesthesia by assessing the Intubating conditions and Hemodynamic changes during...

Efficacy of orally disintegrating film vs intravenous ondansetron in preventing postoperative nausea and vomiting in middle ear surgeries under general anaesthesia

Introduction Ondansetron is widely used perioperative antiemetic In this study we have assessed the antiemetic efficacy of orally disintegrating film ODF in middle ear surgeries associated with higher incidence of PONVMa...

Download PDF file
  • EP ID EP476454
  • DOI 10.18231/2394-4994.2018.0041
  • Views 87
  • Downloads 0

How To Cite

Amit Vadhel, Devyani Desai, M R Upadhyay (2018). Lateral approach versus conventional approach supraclavicular block for forearm surgeries. A prospective randomized controlled study. Indian Journal of Clinical Anaesthesia, 5(2), 222-227. https://europub.co.uk/articles/-A-476454