Axillary approach versus the infraclavicular approach in ultrasound-guided brachial plexus block: comparison of anesthetic time
BackgroundWith ultrasound guidance, the success rate of brachial plexus block (BPB) is 95-100% and the anesthetic time has become a more important factor than before. Many investigators have compared ultrasound guidance with the nerve stimulation technique, but there are few studies comparing differ...
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doaj-13521c778cae4f6cbae0c012a3c41f052020-11-25T03:08:00ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632011-07-01611121810.4097/kjae.2011.61.1.127164Axillary approach versus the infraclavicular approach in ultrasound-guided brachial plexus block: comparison of anesthetic timeIn Ae Song0Nam-Su Gil1Eun-young Choi2Sung-Eun Sim3Seong-Won Min4Young-Jin Ro5Chong Soo Kim6Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Boramae Municipal Hospital, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Boramae Municipal Hospital, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Boramae Municipal Hospital, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Boramae Municipal Hospital, Seoul, Korea.BackgroundWith ultrasound guidance, the success rate of brachial plexus block (BPB) is 95-100% and the anesthetic time has become a more important factor than before. Many investigators have compared ultrasound guidance with the nerve stimulation technique, but there are few studies comparing different approaches via the same ultrasound guidance. We compared the axillary BPB with the infraclavicular BPB under ultrasound guidance.MethodsTwenty-two ASA physical status I-II patients presenting with elective forearm surgery were prospectively randomized to receive an axillary BPB (group AX) or an infraclavicular BPB (group IC) with ultrasound guidance. Both groups received a total of 20 ml of 1.5% lidocaine with 5 µg/ml epinephrine and 0.1 mEq/ml sodium bicarbonate. Patients were then evaluated for block onset and block performance time was also recorded.ResultsGroup IC demonstrated a reduction in performance time vs. group AX (622 ± 139 sec vs. 789 ± 131 sec, P < 0.05). But, the onset time was longer in group IC than in group AX (7.7 ± 8.8 min vs. 1.4 ± 2.3 min, P < 0.05). All blocks were successful in both groups.ConclusionsUnder ultrasound guidance, infraclavicular BPB was faster to perform than the axillary approach. But the block onset was slower with the infraclavicular approach.http://ekja.org/upload/pdf/kjae-61-12.pdfbrachial plexusnerve blockultrasound |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
In Ae Song Nam-Su Gil Eun-young Choi Sung-Eun Sim Seong-Won Min Young-Jin Ro Chong Soo Kim |
spellingShingle |
In Ae Song Nam-Su Gil Eun-young Choi Sung-Eun Sim Seong-Won Min Young-Jin Ro Chong Soo Kim Axillary approach versus the infraclavicular approach in ultrasound-guided brachial plexus block: comparison of anesthetic time Korean Journal of Anesthesiology brachial plexus nerve block ultrasound |
author_facet |
In Ae Song Nam-Su Gil Eun-young Choi Sung-Eun Sim Seong-Won Min Young-Jin Ro Chong Soo Kim |
author_sort |
In Ae Song |
title |
Axillary approach versus the infraclavicular approach in ultrasound-guided brachial plexus block: comparison of anesthetic time |
title_short |
Axillary approach versus the infraclavicular approach in ultrasound-guided brachial plexus block: comparison of anesthetic time |
title_full |
Axillary approach versus the infraclavicular approach in ultrasound-guided brachial plexus block: comparison of anesthetic time |
title_fullStr |
Axillary approach versus the infraclavicular approach in ultrasound-guided brachial plexus block: comparison of anesthetic time |
title_full_unstemmed |
Axillary approach versus the infraclavicular approach in ultrasound-guided brachial plexus block: comparison of anesthetic time |
title_sort |
axillary approach versus the infraclavicular approach in ultrasound-guided brachial plexus block: comparison of anesthetic time |
publisher |
Korean Society of Anesthesiologists |
series |
Korean Journal of Anesthesiology |
issn |
2005-6419 2005-7563 |
publishDate |
2011-07-01 |
description |
BackgroundWith ultrasound guidance, the success rate of brachial plexus block (BPB) is 95-100% and the anesthetic time has become a more important factor than before. Many investigators have compared ultrasound guidance with the nerve stimulation technique, but there are few studies comparing different approaches via the same ultrasound guidance. We compared the axillary BPB with the infraclavicular BPB under ultrasound guidance.MethodsTwenty-two ASA physical status I-II patients presenting with elective forearm surgery were prospectively randomized to receive an axillary BPB (group AX) or an infraclavicular BPB (group IC) with ultrasound guidance. Both groups received a total of 20 ml of 1.5% lidocaine with 5 µg/ml epinephrine and 0.1 mEq/ml sodium bicarbonate. Patients were then evaluated for block onset and block performance time was also recorded.ResultsGroup IC demonstrated a reduction in performance time vs. group AX (622 ± 139 sec vs. 789 ± 131 sec, P < 0.05). But, the onset time was longer in group IC than in group AX (7.7 ± 8.8 min vs. 1.4 ± 2.3 min, P < 0.05). All blocks were successful in both groups.ConclusionsUnder ultrasound guidance, infraclavicular BPB was faster to perform than the axillary approach. But the block onset was slower with the infraclavicular approach. |
topic |
brachial plexus nerve block ultrasound |
url |
http://ekja.org/upload/pdf/kjae-61-12.pdf |
work_keys_str_mv |
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