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2016 ; 6
(2
): 78-94
Nephropedia Template TP
gab.com Text
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Twit Text #
English Wikipedia
THE EFFECT OF COMBINING AXILLARY BRACHIAL PLEXUS BLOCK WITH INTERSCALENE OR
SUPRACLAVICULAR BLOCK FOR UPPER LIMB SURGERIES USING NEUROSTIMULATION TECHNIQUE
#MMPMID28344948
Idehen HO
; Imarengiaye CA
J West Afr Coll Surg
2016[Apr]; 6
(2
): 78-94
PMID28344948
show ga
BACKGROUND: The different approaches to the brachial plexus have clinical
implications and all these approaches have clinical limitations. Combining
different approaches helps to reduce these limitations. Can a combination of two
different methods of brachial plexus block give a better anaesthetic outcome?
AIM: To compare the effect of combining axillary plexus block with interscalene
as opposed to axillary plexus block with supraclavicular blocks. DESIGN OF STUDY:
Prospective observational study. SETTING: University of Benin Teaching Hospital,
Benin city. Edo state. Nigeria. MATERIALS AND METHODS: A total of 182 patients
who met the inclusion criteria were observed and were divided into 5 groups.
Group I (interscalene) n=33, Group S (supraclavicular) n=39, Group A (axillary)
n=35. Group IA (interscalene and axillary) n=34, Group SA (supraclavicular and
axillary) n=41. The brachial plexus was identified using a nerve stimulator and
40ml of 2% lidocaine with 1:200,000 adrenaline and 0.5% bupivacaine, were
deposited in each single approach or divided into two equal portions in the
combined approach .The time of onset, duration of analgesia, level of
satisfaction and complications were compared. RESULTS: There were no differences
with regard to the time of onset (p= 0.74), duration of analgesia (p= 0.82),
patients' satisfaction between the groups. Horner's syndrome was a commonest
complication in the interscalene group consisting (15.15%) cases. CONCLUSION:
There was no difference in terms of time of onset, duration of sensory block and
level of patients' satisfaction between the combined brachial plexus approaches
and single approach.