Comparative Study between Single, Double and Intra-Cluster Injection in Ultrasound-Guided Supraclavicular Brachial Plexus Block: A Randomized Trial | ||||
| The Medical Journal of Cairo University | ||||
| Article 43, Volume 87, June, June 2019, Page 1697-1702 PDF (289.32 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/mjcu.2019.53948 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| SHERIN REFAAT, M.D.; ASHRAF RADY, M.D.; AHMED EL-SONBATY, M.D.; AHMED MAHMOUD, M.Sc. | ||||
| The Department Anesthesiology and Critical Care Medicine, Faculty of Medicine, Cairo University | ||||
| Abstract | ||||
| Abstract Background: There are many different approaches for ultrasound-guided supraclavicular brachial plexus block. Each approach has a different success rate and complications. Aim of Study: The aim of this study is to compare intra-cluster injection technique compared with the most common supraclavicular approach single and double injection tech-niques. Material and Methods: Thirty-six patients received supr-aclavicular block were divided in to three groups. The total volume of local Anesthetic was 30ml 0.5% bupivacaine, In Gs (n=12) the whole volume was injected at corner pocket, while in Gd (n=12), half the volume of local anesthetic was injected at corner pocket and the other half was injected supero-lateral to subclavian artery. In Gic (n=12) the whole volume was injected inside main and satellite neural cluster. the onset time was recorded as the primary outcome. Results: Gic showed rapid onset compared to Gs and Gd (8.17±1.64 minutes, 18±2.45 minutes, 12.58±1.83 minutes, p<0.001) respectively. While Gd showed the longest duration than Gic and Gs (444.17±64.73 minutes, 310±50.09 minutes, 125.83±43.32 minutes, p<0.001) respectively. Time of first rescue analgesia was longer in Gd relative to Gic and G s (455±65.68 minute, 337.50±49.38 minutes, 136.67±49.10 minutes, p<0.001). Complication was noticed in only one patient in Gd. Conclusion: Intra-cluster technique for Supra-Clavicular Brachial Plexus Block showed rapid onset with adequate post-operative analgesia and minimal complications. | ||||
| Keywords | ||||
| Single injection; Double injection; Intra- cluster injection; Ultrasound guided brachial plexus block | ||||
|
Statistics Article View: 214 PDF Download: 335 |
||||
