Our Experience in Plexus Brachialis Block Using Ultrasonography and Nerve Stimulator
Journal Title: HASEKİ TIP BÜLTENİ - Year 2018, Vol 56, Issue 2
Abstract
Aim: To compare our experiences of the brachial plexus block (BPB) using nerve stimulator (NS) and ultrasonography (US) for upper limb surgery. Methods: This retrospective study was designed in 186 American Society of Anesthesiologists I-II-III patients undergoing upper extremity surgery under BPB (supraclavicular, interscalene and infraclavicular block) by US guidance and NS. The patients were divided into two groups as US group (n=118) and NS group (n=68). Data on demographical characteristics, premedication, position, regional block approach, number of stimulator needles, dose of local anesthetics, and success rate were recorded. Results: Demographic data were similar and no statistically difference was recorded between the groups in nerve block method (interscalene, supraclavicular, infraclavicular) (p>0.05). 20 mL 0.5% bupivacaine + 10 mL 2% lidocaine were administered. Blocks were performed with a sedation regimen (1-3 mg midazolam). There was a significant difference in success rates between US (94.1%) and NS groups (80.9%) (p<0.005). Horner’s syndrome was observed in three patients in NS group (4.4%), and four patients in US group (4.2). In addition, hematoma, local anesthetic toxicity and pneumothorax were observed in 3.1 and one patients, respectively, in NS group. Conclusion: Ultrasonographic guidance improves the success of regional anesthesia and causes less complication compared to block using NS.
Authors and Affiliations
Cem Kaçar, Ebru Tarıkçı Kılıç, Hakan Akelma, Ayhan Kaydu, Yakup Aksoy, Ömer Fatih Şahin, Osman Uzundere, Erhan Gökçek
Keywords
Related Articles
- EP ID EP368704
- DOI 10.4274/haseki.39974
- Views 89
- Downloads 0
The Prevalence of Paroxysmal Nocturnal Hemoglobinuria Clone in Adult Patients with Idiopathic Pulmonary Hypertension
Aim: Paroxysmal nocturnal hemoglobinuria (PNH) a is a clonal disorder that may lead to several conditions such as thromboses, Budd-Chiari syndrome, renal failure, impotence, and pulmonary hypertension (pHT). Since the pr...
Evaluation of Electroencephalography Findings in Isolated Hypocalcemia Patients
Aim: In our study, we aimed to analyze electroencephalography (EEG) findings in patients with hypocalcemia and to investigate possible relationship between calcium (Ca) level and EEG abnormalities and whether there was a...
Elastic Stable Intramedullary Nailing for Pediatric Forearm Fractures: A Retrospective Analysis of Thirty Four Cases
Aim: The purpose of this investigation was to present our institutional experience of 34 pediatric both bone forearm fractures treated with titanium elastic intramedullary nails. Methods: Thirty-four patients, who were...
A Rare Case of Zosteriform Cutaneous Metastasis from Breast Cancer
Breast cancer is the most common cancer among women and the second leading cause of cancer deaths, after lung cancer. Cutaneous breast cancer metastases often develop as direct involvement and local spread and often mani...
Innovation in Health Care Delivery
Innovation has become the symbol of transforming into creative economy and is a process of development for new approaches, technologies and working methods. It is a whole of processes that makes information useable. The...