An Observational Study of Efficacy of Infraclavicular Brachial Plexus Block for Arterio-Venous Fistula Surgeries- Comparison of Two Techniques Using Ultrasound and Ultrasound with Peripheral Nerve Stimulation
Vol 3 | Issue 2 | July-December 2022 | Page 88-92 | Trupti Pethkar, R. Janki
DOI: 10.13107/ijra.2022.v03i02.060
Authors: Trupti Pethkar [1], R. Janki [1]
[1] Department of Anaesthesia, Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra, India.
[2] Critical Care Department, Caritas Hospital, Kottayam, Kerala, India.
Address of Correspondence
Dr. Trupti Pethkar,
Consultant Anesthesiologist, Department of Anaesthesia, Kokilaben Dhirubhai Ambani Hospital, Mumbai, Maharashtra, India.
E-mail: truptipethkar@yahoo.co.in
Abstract
Background: Success of the brachial plexus block depends equally on the performer’s skill and the availability of specific equipments. Here, the efficacy of infraclavicular brachial plexus block was assessed using two different techniques.
Material and Methods: In 72 patients divided in equal groups, the time taken to perform the block, onset and degree of sensory and motor blockade, complications and supplements, if required were noted in patients undergoing arterio-venous fistula creation. An infraclavicular brachial plexus block was performed either with ultrasound only (group-A) or with ultrasound and nerve stimulation (group-B). Collected data underwent rigorous statistical analysis.
Results: Onset of sensory, motor blockade and block success achieved in both groups was statistically insignificant. Time taken for block administration and the mean time for complete sensory blockade were statistically significant.
Conclusion: Though time taken for the block administration was longer and complete sensory blockade was earlier by dual guidance, the block success rate and the degree of block were comparable in both the techniques. Dual modality blocks are challenging in view of obtaining an evoked motor response and visualization of the needle at the same time.
Keywords: Infraclavicular brachial plexus block, Sonosite, Peripheral nerve Stimulator
References
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| How to Cite this Article: Pethkar T, Janki R | An Observational Study of Efficacy of Infraclavicular Brachial Plexus Block for Arterio-Venous Fistula Surgeries- Comparison of Two Techniques Using Ultrasound and Ultrasound with Peripheral Nerve Stimulation | International Journal of Regional Anaesthesia | July-December 2022; 3(2): 88-92. |
