Ultrasound Guided Axillary Brachial Plexus Block Using Single and Double Perivascular Injection with Bupivacaine versus Conventional Analgesics for Post Operative Analgesia in Forearm and Hand Surgery in Children of 5-12 Years
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 11
Abstract
Background: Ultrasound guided axillary brachial plexus block using bupivacaine versus conventional analgesics in forearm and hand surgeries. Materials and methods: This study was carried out in the Department of Anesthesiology and Intensive Care at Vardhman Mahavir Medical College New Delhi, after seeking clearance from the college ethical committee. Children aged 5-12 years of either sex undergoing elective forearm and hand surgery were randomly allocated to one of three groups. (n=30) each using a computer generated random number table. Group 1 ( n=30) was given single injection perivascular axillary brachial plexus block with 0.25% bupivacaine dose @ 2mg/kg of body weight. Group 2 ( n=30) was given double injection perivascular axillary brachial plexus block with 0.25% bupivacaine dose @ 2mg/kg of body weight. Group 3 (n=30) was given conventional analgesia in form of intravenous fentanyl (2µ/kg) and paracetamol (15mg/kg) infusion. Results: Both the ultrasound techniques are comparable and better than paracetamol Conclusion: Ultrasound guided techniques of axillary brachial plexus blocks (single and double perivascular injection) are superior in the terms of degree and duration of post-operative analgesia as compared to conventional analgesic (injection paracetamol infusion).
Authors and Affiliations
Dr Vineet Kumar
Keywords
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