Comparison of para-vascular supraclavicular brachial plexus block and costo-clavicular approach of infraclavicular brachial plexus block in providing surgical anesthesia for below elbow surgery: a randomized, single blind study
Waindeskar, V., Raj, C., Jain, A., Trivedi, S. (2022). Comparison of para-vascular supraclavicular brachial plexus block and costo-clavicular approach of infraclavicular brachial plexus block in providing surgical anesthesia for below elbow surgery: a randomized, single blind study. EKB Journal Management System, 14(1), -. doi: 10.1186/s42077-022-00290-7
Vaishali Waindeskar; Charan Raj; Anuj Jain; Saurabh Trivedi. "Comparison of para-vascular supraclavicular brachial plexus block and costo-clavicular approach of infraclavicular brachial plexus block in providing surgical anesthesia for below elbow surgery: a randomized, single blind study". EKB Journal Management System, 14, 1, 2022, -. doi: 10.1186/s42077-022-00290-7
Waindeskar, V., Raj, C., Jain, A., Trivedi, S. (2022). 'Comparison of para-vascular supraclavicular brachial plexus block and costo-clavicular approach of infraclavicular brachial plexus block in providing surgical anesthesia for below elbow surgery: a randomized, single blind study', EKB Journal Management System, 14(1), pp. -. doi: 10.1186/s42077-022-00290-7
Waindeskar, V., Raj, C., Jain, A., Trivedi, S. Comparison of para-vascular supraclavicular brachial plexus block and costo-clavicular approach of infraclavicular brachial plexus block in providing surgical anesthesia for below elbow surgery: a randomized, single blind study. EKB Journal Management System, 2022; 14(1): -. doi: 10.1186/s42077-022-00290-7

Comparison of para-vascular supraclavicular brachial plexus block and costo-clavicular approach of infraclavicular brachial plexus block in providing surgical anesthesia for below elbow surgery: a randomized, single blind study

Ain-Shams Journal of Anesthesiology
Volume 14, Issue 1, January 2022  XML PDF (1.06 MB)
DOI: 10.1186/s42077-022-00290-7
View on SCiNiTO View on SCiNiTO
Authors
Vaishali Waindeskar; Charan Raj; Anuj Jain; Saurabh Trivedi email orcid
Abstract
Background
With better precision of the brachial plexus block (BPB) under real-time ultrasound guidance, supraclavicular BPB (SC-BPB) and infraclavicular BPB (IC-BPB) are being used interchangeably for upper limb surgeries. However, the number of anesthesiologists practicing SC-BPB is much more than those practicing IC-BPB.
Results
Block success was significantly higher in the IC-BPB (100%) vs SC-BPB (92.5%), value 0.03. Scan time was significantly more in the SC-BPB, value 0.001. The block performance time was comparable; time to achieve surgical anesthesia was significantly longer in the IC-BPB, value 0.001. Time for first rescue analgesia was longer in the IC-BPB, value 0. 001. The number of patients requiring intraoperative sedation was comparable, value 0.99.
Conclusions
IC-BPB has greater success rate in providing surgical anesthesia in below elbow surgeries and provides longer postoperative analgesia.
Keywords
Brachial Plexus Block; Upper extremity; Analgesia; Anesthesia
Statistics
Article View: 16
PDF Download: 13