The Cost Comparison of Infraclavicular Brachial Plexus Block by Nerve Stimulator and Ultrasound Guidance

2004 ◽  
pp. 267-268 ◽  
Author(s):  
NavParkash S. Sandhu ◽  
Deepal S. Sidhu ◽  
Levon M. Capan
Keyword(s):  
Brachial Plexus ◽  
Ultrasound Guidance ◽  
Brachial Plexus Block ◽  
Cost Comparison ◽  
Nerve Stimulator ◽  
Infraclavicular Brachial Plexus Block ◽  
Plexus Block ◽  
The Cost

Block characteristics of Dexmedetomidine as an adjuvant to local anaesthetic in Infraclavicular brachial plexus block using peripheral nerve stimulator and ultrasound

2021 ◽  
Vol 23 (2) ◽  
pp. 40-46
Author(s):  
Ujma Shrestha ◽  
Sushila Lama Moktan ◽  
Sanjay Shrestha
Keyword(s):  
Peripheral Nerve ◽  
Brachial Plexus ◽  
Brachial Plexus Block ◽  
Sensory Block ◽  
Local Anaesthetics ◽  
Nerve Stimulator ◽  
Ultrasound Guided ◽  
Peripheral Nerve Stimulator ◽  
Infraclavicular Brachial Plexus Block ◽  
Plexus Block

Introduction: Dexmedetomidine has been frequently used in regional anaesthesia to improve the quality of blocks. Addition of dexmedetomidine to local anaesthetics has been shown to hasten the onset of both sensory and motor blocks and also prolong the duration of analgesia. The objective of this prospective comparative study was to assess the change in characteristics of infraclavicular brachial plexus block after adding Inj. Dexmedetomidine to 2% Lignocaine with Adrenaline. Methods: Sixty-six patients, scheduled for upper limb surgeries under ultrasound guided infraclavicular brachial plexus block were randomly allocated to two groups. Group LS received Inj. Lignocaine 2% with Adrenaline, 7mg/kg diluted to 30 ml with saline and Group LD received Inj. Dexmedetomidine 0.75 mcg/kg in addition to Inj. Lignocaine 2% with Adrenaline, 7mg/kg again diluted to a total volume of 30 ml. The parameters studied were: onset of sensory and motor blocks and duration of analgesia. Results: Sixty patients completed the study. The demographic variables and motor block were similar between both groups. The mean time to onset of sensory block was significantly faster in Group LD compared to Group LS (9.80±4.85 min vs 12.30±3.97 min, p=0.033). The duration of analgesia was also found to be prolonged in Group LD compared to Group LS (286.73±55.38 min vs 226.53±41.19 min, p < 0.001). Conclusion: Addition of 0.75 mcg/kg of Dexmedetomidine to 2% Lignocaine with Adrenaline hastens the onset of sensory block and prolongs the duration of analgesia in ultrasound guided and peripheral nerve stimulator guided infraclavicular block.

scholarly journals A review of the anatomy and a step-by-step visual guide to performing an ultrasound-guided infraclavicular brachial plexus block

2020 ◽  
pp. 17-22
Author(s):  
S Govender ◽  
D Möhr ◽  
ZN Tshabalala ◽  
AN van Schoor
Keyword(s):  
Brachial Plexus ◽  
Ultrasound Guidance ◽  
Brachial Plexus Block ◽  
Transverse Plane ◽  
Ultrasound Guided ◽  
Nerve Blocks ◽  
Block Methods ◽  
Infraclavicular Brachial Plexus Block ◽  
Vascular Structures ◽  
Plexus Block

Background: The aim of this description is to provide step-by-step guidelines for performing an ultrasound guided infraclavicular brachial plexus nerve block. Methods: The brachial plexus in the infraclavicular fossa of sixty healthy volunteers was scanned in the horizontal/transverse plane. The relevant regional anatomy was studied to identify the muscular and vascular structures seen on the ultrasound screen. Results: The entire process was documented and a standard, step-by-step guide to performing ultrasound guided vertical infraclavicular brachial plexus blocks was developed. Conclusion: The development of high-resolution ultrasound guidance has allowed for the direct visualisation of the brachial plexus when performing nerve blocks. Ultrasound-guided infraclavicular brachial plexus nerve blocks are becoming more popular. This description aimed to provide step-by-step guidelines on how to perform this block safely and efficiently.

scholarly journals Different Learning Curves for Axillary Brachial Plexus Block: Ultrasound Guidance versus Nerve Stimulation

2010 ◽  
Vol 2010 ◽  
pp. 1-7 ◽  
Author(s):  
C. Luyet ◽  
G. Schüpfer ◽  
M. Wipfli ◽  
R. Greif ◽  
M. Luginbühl ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Nerve Stimulation ◽  
Ultrasound Guidance ◽  
Brachial Plexus Block ◽  
Learning Curves ◽  
Previous Experience ◽  
Nerve Stimulator ◽  
Nerve Blocks ◽  
Axillary Brachial Plexus Block ◽  
Plexus Block

Little is known about the learning of the skills needed to perform ultrasound- or nerve stimulator-guided peripheral nerve blocks. The aim of this study was to compare the learning curves of residents trained in ultrasound guidance versus residents trained in nerve stimulation for axillary brachial plexus block. Ten residents with no previous experience with using ultrasound received ultrasound training and another ten residents with no previous experience with using nerve stimulation received nerve stimulation training. The novices' learning curves were generated by retrospective data analysis out of our electronic anaesthesia database. Individual success rates were pooled, and the institutional learning curve was calculated using a bootstrapping technique in combination with a Monte Carlo simulation procedure. The skills required to perform successful ultrasound-guided axillary brachial plexus block can be learnt faster and lead to a higher final success rate compared to nerve stimulator-guided axillary brachial plexus block.

Is Ultrasound Guidance Superior to Conventional Nerve Stimulation for Coracoid Infraclavicular Brachial Plexus Block?

2009 ◽  
Vol 34 (4) ◽  
pp. 357-360 ◽  
Author(s):  
Manuel Taboada ◽  
Jaime Rodríguez ◽  
Marcos Amor ◽  
Sergi Sabaté ◽  
Julian Alvarez ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Nerve Stimulation ◽  
Ultrasound Guidance ◽  
Brachial Plexus Block ◽  
Infraclavicular Brachial Plexus Block ◽  
Plexus Block
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