Brachial Plexus Block: Supraclavicular Approach

1988 ◽  
pp. 58-65
Author(s):  
Prithvi Raj ◽  
Hans Nolte ◽  
Michael Stanton-Hicks
Keyword(s):  
Brachial Plexus ◽  
Brachial Plexus Block ◽  
Supraclavicular Approach ◽  
Plexus Block

Modified supraclavicular approach to brachial plexus block

2022 ◽  
Vol 76 ◽  
pp. 110585
Author(s):  
Pablo Oliver-Fornies ◽  
Karla Espinosa Morales ◽  
Mario Fajardo-Pérez ◽  
Carlos H. Salazar-Zamorano ◽  
Ece Yamak-Altinpulluk ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Brachial Plexus Block ◽  
Supraclavicular Approach ◽  
Plexus Block

Dexamethasone as an Adjuvant to 0.5 % Ropivacaine for Ultrasound Guided Supraclavicular Brachial Plexus Block

2021 ◽  
Vol 8 (14) ◽  
pp. 849-853
Author(s):  
Shweta Saurin Mehta ◽  
Nidhiben Sureshbhai Patel
Keyword(s):  
Adverse Effects ◽  
Brachial Plexus ◽  
Upper Limb ◽  
Brachial Plexus Block ◽  
Supraclavicular Approach ◽  
Supraclavicular Brachial Plexus Block ◽  
Group A ◽  
Group B ◽  
Regional Anaesthetic Technique ◽  
Plexus Block

BACKGROUND Supraclavicular brachial plexus block is a reliable, regional anaesthetic technique for upper limb surgeries. Also known as “spinal of upper limb”.1 The present study was conducted to assess the analgesic efficacy of dexamethasone as an adjuvant to 0.5 % ropivacaine for ultrasound sonography (USG) guided brachial plexus block. METHODS 50 adult patients of American Society of Anaesthesiologists (ASA) physical status I and II of both genders, aged 18 - 50 years scheduled for elective upper limb surgeries under brachial plexus block via supraclavicular approach were randomised into 2 groups of 25 patients each to receive either 20 ml of 0.5 % ropivacaine with 2 ml of normal saline (group A) or 20 ml of 0.5 % ropivacaine with 2 ml of dexamethasone (8 mg) (group B). RESULTS Use of ultrasound helps in better visualisation of nerves, needle & spread of local anaesthetic at brachial plexus block site. So, less amount of drug volume is required for the block. Time of onset of sensory and motor block was significantly lower in group B compared to group A. Mean duration of motor and sensory block was significantly longer in group B than group A. The duration of postoperative analgesia was 18.79 ± 2.31 hours in group B & 9.06 ± 0.35 hours in group A, with statistically highly significant difference (P < 0.05). There were no perioperative haemodynamic variations between the two groups and no complication of technique or adverse effects due to dexamethasone occurred. CONCLUSIONS Dexamethasone 8 mg has significantly extended duration of analgesia of brachial plexus block with no adverse effects. KEYWORDS Brachial Plexus Block, Ropivacaine, Dexamethasone, Supraclavicular Approach, Ultrasound Guidance

Brachial Plexus Block with Ropivacaine, Effects of Added Alpha Adrenergic Agonists - Comparison between Clonidine and Epinephrine

2021 ◽  
Vol 8 (02) ◽  
pp. 97-102
Author(s):  
Pradeep Kumar Das ◽  
Raviteja Vallabha ◽  
Sri Harsha Merugu ◽  
Hemnath Babu Kotla
Keyword(s):  
Brachial Plexus ◽  
Upper Limb ◽  
Brachial Plexus Block ◽  
Adrenergic Agonists ◽  
Sensory Blockade ◽  
Supraclavicular Approach ◽  
Significant Difference ◽  
Supraclavicular Brachial Plexus Block ◽  
And Performance ◽  
Plexus Block

BACKGROUND To improve the time of regional anaesthesia many methods have been used. Epinephrine continues to be the most commonly used drug for this purpose. We wanted to compare the effects of alpha-adrenergic agonists clonidine and adrenaline as an adjuvant to ropivacaine in blocking brachial plexus by the supraclavicular approach in patients undergoing upper limb surgeries. METHODS It is a prospective randomised comparative study conducted for 18 months in 40 patients randomly divided into group RA and group RC, conducted on American Society of Anesthesiology (ASA) I and II patients undergoing upper limb surgeries under supraclavicular brachial plexus block. In group RA 30 mL of 0.5 % ropivacaine with 5 microgram / mL of epinephrine was given and in group RC 30 mL of 0.5 % ropivacaine with 1 microgram / Kg of clonidine was given. RESULTS On comparing effects of added alpha-adrenergic agonists clonidine and epinephrine to ropivacaine for supraclavicular brachial plexus block, it was found that there was no significant difference in the onset of the sensory blockade and motor blockade in the two groups. Duration of sensory blockade was significantly more in the clonidine with ropivacaine group when compared with the epinephrine and ropivacaine. There was no significant difference in haemodynamic responses between the two groups. CONCLUSIONS Supraclavicular approach brachial plexus block is effective in terms of cost and performance, and the margin of safety along with good postoperative analgesia. Hence, it can be concluded that the addition of 1 µg / Kg of clonidine to 0.5 % ropivacaine in supraclavicular brachial plexus block provides a longer duration of analgesia as compared to 5 µg / mL of epinephrine added to 0.5 % ropivacaine. KEYWORDS Ropivacaine, Supraclavicular Brachial Plexus, Epinephrine

scholarly journals A fluoroscopic assessment of brachial plexus block by the supraclavicular approach: Have we been overmedicating?

2020 ◽  
Vol 76 (4) ◽  
pp. 410-417
Author(s):  
Rashmi Datta ◽  
Jyotsna Agrawal ◽  
Gagan Narula ◽  
Bhavna Pahwa
Keyword(s):  
Brachial Plexus ◽  
Brachial Plexus Block ◽  
Supraclavicular Approach ◽  
Plexus Block

scholarly journals The Incidence and Aetiology of Phrenic Nerve Blockade Associated with Supraclavicular Brachial Plexus Block

1979 ◽  
Vol 7 (4) ◽  
pp. 346-349 ◽  
Author(s):  
G. E. Knoblanche
Keyword(s):  
Brachial Plexus ◽  
Nerve Block ◽  
Phrenic Nerve ◽  
Brachial Plexus Block ◽  
X Ray ◽  
Supraclavicular Approach ◽  
True Incidence ◽  
Supraclavicular Brachial Plexus Block ◽  
Plexus Block ◽  
Phrenic Nerve Block

A trial to ascertain the true incidence of inadvertent phrenic nerve block with brachial plexus block via the supraclavicular approach was carried out. Phrenic nerve block was monitored by x-ray screening of the diaphragm. There was an incidence of phrenic nerve block of 67% (10 cases of diaphragmatic paralysis in 15 brachial blocks). The possible causes of phrenic nerve block with brachial block are discussed. It is concluded that the phrenic nerve is blocked peripherally in front of the scalenus anterior.

Pneumothorax as a Complication of the Ultrasound-Guided Supraclavicular Approach for Brachial Plexus Block

2010 ◽  
Vol 111 (3) ◽  
pp. 817-819 ◽  
Author(s):  
Anuj Bhatia ◽  
Jacob Lai ◽  
Vincent W. Chan ◽  
Richard Brull
Keyword(s):  
Brachial Plexus ◽  
Brachial Plexus Block ◽  
Ultrasound Guided ◽  
Supraclavicular Approach ◽  
Plexus Block

scholarly journals Comparision of Bupivacaine with and without Clonidine as for Supraclavicular Approach to Brachial Plexus Block

2019 ◽  
Vol 6 (1) ◽  
pp. 303-310
Author(s):  
P.T. Rajya Lakshmi Devi Lakshmi Devi ◽  
◽  
B. Sai Naveena Lakshmi ◽  
Keyword(s):  
Brachial Plexus ◽  
Brachial Plexus Block ◽  
Supraclavicular Approach ◽  
Plexus Block
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