Optimization of Inotropic Support in Victims with Polytrauma and Acute Heart Failure
Objective: to evaluate the impact of ultrasound-guided nerve imaging on the efficiency and safety of supraclavicular brachial plexus block. Subjects and methods. Sixty-five patients underwent supraclavicular brachial plexus block. According to the method of nerve identification, all the patients wer...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia
2011-08-01
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| Series: | Общая реаниматология |
| Online Access: | https://www.reanimatology.com/rmt/article/view/280 |
| _version_ | 1797874277269110784 |
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| author | N. A. Karpun V. V. Moroz A. N. Afonin |
| author_facet | N. A. Karpun V. V. Moroz A. N. Afonin |
| author_sort | N. A. Karpun |
| collection | DOAJ |
| description | Objective: to evaluate the impact of ultrasound-guided nerve imaging on the efficiency and safety of supraclavicular brachial plexus block. Subjects and methods. Sixty-five patients underwent supraclavicular brachial plexus block. According to the method of nerve identification, all the patients were allocated to one of two groups: 1) Kulenkampff’s block, by identifying the nerves by a nerve stimulator (n=30); 2) supraclavicular block, by identifying the nerves by ultrasound scanning (n=35). Anesthesia was carried out with a local anesthetic solution containing 20 ml of 2% lidocaine and 10 ml of 0.5% bupivacaine (a total of 30 ml). Results. There is evidence for the high efficiency (97.1%) of ultrasound-guided nerve imaging and its safety (no multiple attempts to verify nerves and complications) as compared to the Kulenkampff supraclavicular block using neurostimulation to identify the plexus (p<0.05). Conclusion. The authors’ modified ultrasound-guided imaging in performing the brachial plexus block helps define nerve localization and observe the placement of a needle against the anatomic structures as it is advanced. Local anesthetic spread observed by ultrasound scanning confirms the precise location of the needle tip. Key words: ultrasound-guided nerve imaging, brachial plexus, efficiency of anesthesia, complication, supra-clavicular approach. |
| first_indexed | 2024-04-10T01:29:27Z |
| format | Article |
| id | doaj.art-79b501d05ae949d58441798215ad94de |
| institution | Directory Open Access Journal |
| issn | 1813-9779 2411-7110 |
| language | English |
| last_indexed | 2024-04-10T01:29:27Z |
| publishDate | 2011-08-01 |
| publisher | Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia |
| record_format | Article |
| series | Общая реаниматология |
| spelling | doaj.art-79b501d05ae949d58441798215ad94de2023-03-13T09:32:51ZengFederal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, RussiaОбщая реаниматология1813-97792411-71102011-08-017410.15360/1813-9779-2011-4-48280Optimization of Inotropic Support in Victims with Polytrauma and Acute Heart FailureN. A. KarpunV. V. MorozA. N. AfoninObjective: to evaluate the impact of ultrasound-guided nerve imaging on the efficiency and safety of supraclavicular brachial plexus block. Subjects and methods. Sixty-five patients underwent supraclavicular brachial plexus block. According to the method of nerve identification, all the patients were allocated to one of two groups: 1) Kulenkampff’s block, by identifying the nerves by a nerve stimulator (n=30); 2) supraclavicular block, by identifying the nerves by ultrasound scanning (n=35). Anesthesia was carried out with a local anesthetic solution containing 20 ml of 2% lidocaine and 10 ml of 0.5% bupivacaine (a total of 30 ml). Results. There is evidence for the high efficiency (97.1%) of ultrasound-guided nerve imaging and its safety (no multiple attempts to verify nerves and complications) as compared to the Kulenkampff supraclavicular block using neurostimulation to identify the plexus (p<0.05). Conclusion. The authors’ modified ultrasound-guided imaging in performing the brachial plexus block helps define nerve localization and observe the placement of a needle against the anatomic structures as it is advanced. Local anesthetic spread observed by ultrasound scanning confirms the precise location of the needle tip. Key words: ultrasound-guided nerve imaging, brachial plexus, efficiency of anesthesia, complication, supra-clavicular approach.https://www.reanimatology.com/rmt/article/view/280 |
| spellingShingle | N. A. Karpun V. V. Moroz A. N. Afonin Optimization of Inotropic Support in Victims with Polytrauma and Acute Heart Failure Общая реаниматология |
| title | Optimization of Inotropic Support in Victims with Polytrauma and Acute Heart Failure |
| title_full | Optimization of Inotropic Support in Victims with Polytrauma and Acute Heart Failure |
| title_fullStr | Optimization of Inotropic Support in Victims with Polytrauma and Acute Heart Failure |
| title_full_unstemmed | Optimization of Inotropic Support in Victims with Polytrauma and Acute Heart Failure |
| title_short | Optimization of Inotropic Support in Victims with Polytrauma and Acute Heart Failure |
| title_sort | optimization of inotropic support in victims with polytrauma and acute heart failure |
| url | https://www.reanimatology.com/rmt/article/view/280 |
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