Our experience in plexus brachialis block using ultrasonography and nerve stimulator Üst ekstremite cerrahisinde uyguladığımız brakiyal pleksus bloğunda ultrasonografi ve sinir stimülatörü deneyimlerimiz
Haseki Tip Bulteni, cilt.56, sa.2, ss.99-103, 2018 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 56 Sayı: 2
- Basım Tarihi: 2018
- Doi Numarası: 10.4274/haseki.39974
- Dergi Adı: Haseki Tip Bulteni
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.99-103
- Anahtar Kelimeler: Ultrasonography, upper extremity block, regional anesthesia, nerve stimulator
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Aim: To compare our experiences of the brachial plexus block (BPB) using nerve stimulator (NS) and ultrasonography (US) for upper limb surgery. Methods: This retrospective study was designed in 186 American Society of Anesthesiologists I-II-III patients undergoing upper extremity surgery under BPB (supraclavicular, interscalene and infraclavicular block) by US guidance and NS. The patients were divided into two groups as US group (n=118) and NS group (n=68). Data on demographical characteristics, premedication, position, regional blockapproach, number of stimulator needles, dose of local anesthetics, and success rate were recorded. Results: Demographic data were similar and no statistically difference was recorded between the groups in nerve block method (interscalene, supraclavicular, infraclavicular) (p>0.05). 20 mL 0.5% bupivacaine + 10 mL 2% lidocaine were administered. Blocks were performed with a sedation regimen (1-3 mg midazolam). There was a significant ifference in success rates between US (94.1%) and NS groups (80.9%) (p<0.005). Horner’s syndrome was observed in three patients in NS group (4.4%), and four patients in US group (4.2). In addition, hematoma, local anesthetic toxicity and pneumothorax were observed in 3.1 and one patients, respectively, in NS group. Conclusion: Ultrasonographic guidance improves the success of regional anesthesia and causes less complication compared to block using NS.