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180865

Supraclavicular Versus Infraclavicular Brachial Plexus Block Using Two Different Techniques: Comparative Study

Article

Last updated: 03 Jan 2025

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Abstract

Background: A perfectly conducted regional anesthetic guided by ultrasound offers much to anesthesiologists. Objective: This study was aimed to compare supraclavicular block with infraclavicular brachial plexus block for anesthesia in the forearm, hand surgery using two different methods: ultrasound alone or ultrasound together with a nerve stimulator. Patients and Methods: This prospective randomized study was performed on 80 adult patients, aged from 20 to 60 years, with ASA (American Society of Anesthesiology) physical status I and II. Patients were randomized in one of four groups: Supraclavicular block used Ultrasound (n =20), Supraclavicular block used ultrasound with nerve stimulator (n =20), Infraclavicular block used Ultrasound (n =20), Infraclavicular block used ultrasound with nerve stimulator (n =20). The local anesthetic solution used consisted of a 1:1 volume of 0.5 % bupivacaine and 2% lidocaine with 1:200.000 adrenaline. This solution was injected in a dose of 0.5 ml/kg to maximal 40 ml. The Measured parameters were: Demographic values, the scanning time, the block performance time, the onset time, the degree of pain during block performance, evaluation of sensory and motor block, and complications. Result: There were no significant differences between groups as regards all measured parameters. Conclusion: It could be concluded that the supraclavicular nerve block showed no significant difference from infraclavicular ultrasound-guided with or without nerve stimulator. It remains controversial whether the adding of the nerve stimulation to the ultrasound is more beneficial in ensuring rapid onset, longer duration of action, and avoiding complications.  

DOI

10.21608/ejhm.2021.180865

Keywords

Supraclavicular, infraclavicular, brachial plexus, Ultrasound-guided, Nerve stimulator with Ultrasound

Authors

First Name

Areej Rashad Mohammad

Last Name

Abdalziz

MiddleName

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Affiliation

Department of Anesthesia and Surgical Intensive Care, Faculty of Medicine, Zagazig University, Egypt

Email

arig3000@yahoo.com

City

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Orcid

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First Name

Samia Mohammad

Last Name

Masoud

MiddleName

-

Affiliation

Department of Anesthesia and Surgical Intensive Care, Faculty of Medicine, Zagazig University, Egypt

Email

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City

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Orcid

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First Name

Ahmad Abd Elhakem

Last Name

Balata

MiddleName

-

Affiliation

Department of Anesthesia and Surgical Intensive Care, Faculty of Medicine, Zagazig University, Egypt

Email

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City

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Orcid

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First Name

Mona Abd Elhamed

Last Name

El Harrisi

MiddleName

-

Affiliation

Department of Anesthesia and Surgical Intensive Care, Faculty of Medicine, Zagazig University, Egypt

Email

-

City

-

Orcid

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Volume

84

Article Issue

1

Related Issue

25405

Issue Date

2021-07-01

Receive Date

2021-06-29

Publish Date

2021-07-01

Page Start

2,108

Page End

2,114

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_180865.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=180865

Order

76

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Supraclavicular Versus Infraclavicular Brachial Plexus Block Using Two Different Techniques: Comparative Study

Details

Type

Article

Created At

22 Jan 2023