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
- EP ID EP476454
- DOI 10.18231/2394-4994.2018.0041
- Views 88
- Downloads 0
Comparative study of gasman software with conventional dial setting for depth of anaesthesia using bis monitor in laparoscopic cholesystectomy
Introduction: Gas Man is a commercial product which allows anaesthesiologist to simulate and experiment with anaesthesia delivery systems. This type of virtual anaesthesia machine is an animated gas machine illustration...
A randomized controlled double blind study comparing the efficacy of epidural ropivacaine and bupivacaine with fentanyl for labor analgesia
Introduction and Aim Ropivacaine and bupivacaine have been found to provide adequate labor analgesia when given epidurally The aim of this randomized double blind study was to compare the onset of sensory block in epidur...
Comparison of Efficacy and Safety of 0.5% Bupivacaine and 0.5% Ropivacaine for Combined Femoral Nerve Block and Sciatic Nerve Block (Anterior Approach): A randomized controlled trial
Various local anesthetic agents in different concentrations have been used for combined femoral and sciatic nerve block. But the existing evidence is inconclusive on the ideal anesthetic agent and its concentration. The...
A study to evaluate comparative efficacy of two different venous occlusion duration on pretreatment with Inj. lignocaine to prevent propofol Inj. pain in patients undergoing surgery under general anaesthesia
Aim To study the efficacy of two different time duration of venous occlusion in preventing propofol injection painMaterials and Methods In this prospective randomized controlled study patients of either gender scheduled...
Attenuation of pressor response to laryngoscopy and intubation: Dexmedetomidine Vs. fentanyl premedication
Introduction The pressor response during laryngoscopy and intubation is part of a huge spectrum of stress response results from the increase in sympathetic and sympathoadrenal activity The present study was planned to ob...