Comparison of intra-operative analgesia provided by intravenous regional anesthesia or brachial plexus block for pancarpal arthrodesis in dogs

2012 ◽  
Vol 93 (3) ◽  
pp. 1493-1497 ◽  
Author(s):  
C. De Marzo ◽  
A. Crovace ◽  
V. De Monte ◽  
D. Grimaldi ◽  
F. Iarussi ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Regional Anesthesia ◽  
Brachial Plexus Block ◽  
Intravenous Regional Anesthesia ◽  
Plexus Block

scholarly journals REGIONAL ANESTHESIA CONTINUOUS BRACHIAL PLEXUS BLOCK WITH ULTRASONOGRAPHY GUIDANCE

2015 ◽  
Vol 4 (1) ◽  
pp. 8
Author(s):  
T. G. A. Senapathi ◽  
M. Wiryana ◽  
P. Astawa ◽  
N. M. Astawa ◽  
S. Maliawan ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Regional Anesthesia ◽  
Brachial Plexus Block ◽  
Plexus Block ◽  
Ultrasonography Guidance

scholarly journals Dexmedetomidine-induced hemodynamic instability in patients undergoing orthopedic upper limb surgery under brachial plexus block: a retrospective study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
A Ram Doo ◽  
Hyungseok Lee ◽  
Seon Ju Baek ◽  
Jeongwoo Lee
Keyword(s):  
Brachial Plexus ◽  
Regional Anesthesia ◽  
Upper Limb ◽  
Brachial Plexus Block ◽  
Hemodynamic Instability ◽  
Overweight And Obesity ◽  
Anesthesia Practice ◽  
Female Sex ◽  
Upper Limb Surgery ◽  
Plexus Block

Abstract Background Hemodynamic instability is a frequent adverse effect following administration of dexmedetomidine (DMED). In this study, we evaluated the incidence of DMED-induced hemodynamic instability and its predictive factors in clinical regional anesthesia practice. Methods One hundred sixteen patients who underwent orthopedic upper limb surgery under brachial plexus block with intravenous DMED administration were retrospectively identified. The primary outcome was the incidence of DMED-induced hemodynamic instability. The participants were allocated to a stable or unstable group by their hemodynamic instability status. Patients’ characteristics were compared between the groups. The relationship between the potential risk factors and development of DMED-induced hemodynamic instability was analyzed with a logistic regression model. Results DMED-induced hemodynamic instability was observed in 14.7% of patients (17/116). The unstable group had more women than the stable group (76.5% vs. 39.4%, P = 0.010). When patients were classified into four subgroup according to body mass index (underweight, normal weight, overweight, and obesity), there was significant difference in the composition of the subgroups in the two groups (P = 0.008). In univariate analysis, female sex, obesity, and pre-existing hypertension were significant predictors of DMED-induced hemodynamic instability. Multivariate analysis demonstrated that female sex (adjusted OR 3.86, CI 1.09; 13.59, P = 0.036) and obesity (adjusted OR 6.41, CI 1.22; 33.57, P = 0.028) were independent predictors of DMED-induced hemodynamic instability. Conclusions Female and obese patients are more likely to have hemodynamic instability following intravenous DMED administration in clinical regional anesthesia practice. This study suggests that DMED dose may be diminished to prevent hypotensive risk in these populations. Trial registration This article was retrospectively registered at WHO clinical trial registry platform (Trial number: KCT0005977).

scholarly journals Supraclavicular Block: Challenging but Safer Option in Obese Patient During Covid-19 Pandemic

2020 ◽  
pp. 1-3
Author(s):  
Kamakshi Garg
Keyword(s):  
Brachial Plexus ◽  
Difficult Airway ◽  
Regional Anesthesia ◽  
Brachial Plexus Block ◽  
First Choice ◽  
Supraclavicular Brachial Plexus Block ◽  
Local Anesthetic Systemic Toxicity ◽  
Supraclavicular Block ◽  
Plexus Block ◽  
Post Bariatric Surgery

Introduction: Brachial plexus block is a boon for an anesthesiologist in difficult airway especially in the COVID-19 pandemic. The provision of regional anesthesia in this pandemic reduces the need for general anesthesia and the associated risk from aerosol-generating procedures. Case Report: A 35-year-old male weighing 130 kg with BMI 39.8 post-bariatric surgery 3 years back presented to casualty with the alleged roadside accident with fracture right midshaft humerus, right radius ulna, multiple facial injuries and suspected C3-C4 fracture. An USG guided supraclavicular block was given using 20 ml 2% lignocaine with adrenaline and 20 ml 0.75% ropivacaine. The patient shifted to COVID-19 post-anesthesia care unit for further management. Discussion: During the COVID-19 pandemic, regional anesthesia though challenging but considered the first choice and safer mode of anesthesia in COVID19 suspected patients with a difficult airway. The advent of USG has made supraclavicular nerve block safe for obese patients and reduce the risk of local anesthetic systemic toxicity. Conclusion: Supraclavicular brachial plexus block provides consistently effective anesthesia to the upper extremity. Also, recent advances in techniques of regional anesthesia have dropped the failure rates of the procedure.

INTERSCALENE BRACHIAL PLEXUS BLOCK WITH A NERVE STIMULATOR FOR CLAVICULAR FRACTURE SURGERY

2014 ◽  
pp. 20-24
Author(s):  
Van Minh Nguyen
Keyword(s):  
Side Effects ◽  
Brachial Plexus ◽  
Brachial Plexus Block ◽  
Clavicle Fracture ◽  
Onset Time ◽  
Clavicular Fracture ◽  
Nerve Stimulator ◽  
Interscalene Brachial Plexus Block ◽  
Plexus Block ◽  
Fracture Surgery

Objective:To evaluate the effectiveness and side effects, complications of interscalene brachial plexus block with a nerve stimulator for clavicular fracture surgery. Materials and Methods:In a prospective descriptive study, fifty patients received interscalene brachial plexus block for fixation of clavicle fracture. The dose was 7 mg/kg of 1% lidocaine mixed with 1 : 200000 adrenaline. Results:The success rate was 94%, including 4% of patients needed sedation and small amount of narcotic, failure rate was 6%. The minimal stimulating current of the nerve location was 0.46 ±0.08 mA, the onset time of sensory block was 8.86 ±2.65min. There were 3 complications with one Horner’s syndrome and two hoarsenesses. Conclusion:We found that in patients undergoing fixation of clavicle fracture the interscalene block with a nerve stimulator was an effective anesthetic with a low rate of side effects and complications. Key words:Interscalene block, nerve stimulator, clavicular fracture surgery.

Sign in / Sign up

Export Citation Format

Share Document