Comparison of ultrasound and electrical neurostimulation guidance in axillary brachial plexus block

Anaesthesia, Pain & Intensive Care

ARTICLE

OmurOzturk¹  Ali Bilge²  Aysu Hayriye Tezcan¹  Hatice Yagmurdur¹  Gokhan Ragıp Ulusoy²  Inan Gezgin³  Burhan Dost⁴ 

[1] Department of Anesthesiology & Reanimation, Kafkas University School of Medicine;Department of Orthopaedics & Traumatology, Kafkas University School of Medicine;Department of Neurosurgery, Kafkas University School of Medicine;Department of Anesthesiology and Reanimation Department, Adıyaman Besni Government Hospital

关键词: Anesthesia;    Anesthesia;    Conduction;    Brachial Plexus Block;    Ultrasonography;    Ultrasonography;    Interventional;    ultrasonography;    Ultrasound;    Percutaneous Electric Nerve Stimulation;    Neurostimulation;   

DOI  :  10.35975/apic.v0i0.1243

学科分类：社会科学、人文和艺术（综合）

来源: THK

【 摘 要 】

Objectives: To compare ultrasound guidance (USG) and electrical neurostimulation guidance (ENSG) in axillary brachial plexus block in terms of block performing time, sensory and motor block quality, and patient satisfaction. Methodology: 200 patients undergoing elective carpal tunnel syndrome surgery were randomly assigned to one of two groups equally; the USG group or the ENSG group. Axillary blocks were performed with a mixture of 15 ml of lidocaine 2% and 15 ml of bupivacaine 0.5% (a total of 30 ml solution). Sensory block was evaluated with a pinprick test and motor block was evaluated via the Bromage scale by a blinded observer. Results: Block performing time was significantly shorter in the USG group than in the ENSG group (P<0.001). The sensory and motor block onset times were significantly shorter and the additional analgesic requirements were significantly lower in the USG group than in the ENSG group (P<0.001). Conclusion: USG is better than ENSG in axillary brachial plexus block in terms of block performing time, block quality and patient satisfaction.

【 授权许可】

CC BY-NC