An open label randomized comparative study on axillary vis a vis supraclavicular approaches for brachial plexus block in forearm surgery
Aims and Objectives: Regional anesthesia like brachial plexus blocks are increasingly practiced now a day’s avoiding the complications of general anesthesia for upper limb surgery. Among the many techniques axillary and supraclavicular approaches are common though both have its merits and demerits....
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| Format: | Article |
| Language: | English |
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Manipal College of Medical Sciences, Pokhara
2017-01-01
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| Series: | Asian Journal of Medical Sciences |
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| Online Access: | https://www.nepjol.info/index.php/AJMS/article/view/14937 |
| _version_ | 1818047531406327808 |
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| author | Amar Nath Gupta |
| author_facet | Amar Nath Gupta |
| author_sort | Amar Nath Gupta |
| collection | DOAJ |
| description | Aims and Objectives: Regional anesthesia like brachial plexus blocks are increasingly practiced now a day’s avoiding the complications of general anesthesia for upper limb surgery. Among the many techniques axillary and supraclavicular approaches are common though both have its merits and demerits. This study was planned to compare these two techniques in terms of onset, completion time of sensory and motor blockade, its duration and overall success during upper limb surgeries.
Materials and Methods: After obtaining institutional ethics committee approval and written informed consent, 100 patients of American Society of Anesthesiologists grade I or II scheduled for forearm and hand surgeries were included in the study and were randomly allocated into two groups. 30ml of the 0.5% bupivacaine was injected either by supraclavicular or axillary route by a single trained experienced anesthetist. The onset and completion time of sensory and motor blockade, its duration and overall success were noted and the collected data was statistically analyzed.
Results: The patients (n=100) predominantly female (56%) with comparable demographic profile found to have equal efficacy in onset of sensory block, extent of motor blockade, duration of block (analgesia) in both the group. However considering overall effectiveness of the techniques including their failure rates, axillary approach appeared to be more acceptable and a better technique (p<0.05).
Conclusion: Axillary approach could be a safer choice among regional block for the conduct of upper limb surgery. |
| first_indexed | 2024-12-10T10:07:16Z |
| format | Article |
| id | doaj.art-9af39ba8cddb45b9aedb1a2eec3b7646 |
| institution | Directory Open Access Journal |
| issn | 2467-9100 2091-0576 |
| language | English |
| last_indexed | 2024-12-10T10:07:16Z |
| publishDate | 2017-01-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj.art-9af39ba8cddb45b9aedb1a2eec3b76462022-12-22T01:53:14ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762017-01-01817176https://doi.org/10.3126/ajms.v8i1.14937An open label randomized comparative study on axillary vis a vis supraclavicular approaches for brachial plexus block in forearm surgeryAmar Nath Gupta 0Assistant Professor, Department of Anesthesia Gouri Devi Institute of Medical Sciences and Hospital Rajbandh, Durgapur Pin 713212 http://orcid.org/0000-0002-5478-490XAims and Objectives: Regional anesthesia like brachial plexus blocks are increasingly practiced now a day’s avoiding the complications of general anesthesia for upper limb surgery. Among the many techniques axillary and supraclavicular approaches are common though both have its merits and demerits. This study was planned to compare these two techniques in terms of onset, completion time of sensory and motor blockade, its duration and overall success during upper limb surgeries. Materials and Methods: After obtaining institutional ethics committee approval and written informed consent, 100 patients of American Society of Anesthesiologists grade I or II scheduled for forearm and hand surgeries were included in the study and were randomly allocated into two groups. 30ml of the 0.5% bupivacaine was injected either by supraclavicular or axillary route by a single trained experienced anesthetist. The onset and completion time of sensory and motor blockade, its duration and overall success were noted and the collected data was statistically analyzed. Results: The patients (n=100) predominantly female (56%) with comparable demographic profile found to have equal efficacy in onset of sensory block, extent of motor blockade, duration of block (analgesia) in both the group. However considering overall effectiveness of the techniques including their failure rates, axillary approach appeared to be more acceptable and a better technique (p<0.05). Conclusion: Axillary approach could be a safer choice among regional block for the conduct of upper limb surgery.https://www.nepjol.info/index.php/AJMS/article/view/14937regional blockaxillary blocksupraclavicular blockupper limb surgery |
| spellingShingle | Amar Nath Gupta An open label randomized comparative study on axillary vis a vis supraclavicular approaches for brachial plexus block in forearm surgery Asian Journal of Medical Sciences regional block axillary block supraclavicular block upper limb surgery |
| title | An open label randomized comparative study on axillary vis a vis supraclavicular approaches for brachial plexus block in forearm surgery |
| title_full | An open label randomized comparative study on axillary vis a vis supraclavicular approaches for brachial plexus block in forearm surgery |
| title_fullStr | An open label randomized comparative study on axillary vis a vis supraclavicular approaches for brachial plexus block in forearm surgery |
| title_full_unstemmed | An open label randomized comparative study on axillary vis a vis supraclavicular approaches for brachial plexus block in forearm surgery |
| title_short | An open label randomized comparative study on axillary vis a vis supraclavicular approaches for brachial plexus block in forearm surgery |
| title_sort | open label randomized comparative study on axillary vis a vis supraclavicular approaches for brachial plexus block in forearm surgery |
| topic | regional block axillary block supraclavicular block upper limb surgery |
| url | https://www.nepjol.info/index.php/AJMS/article/view/14937 |
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