Ultrasound guidance improves the success rate of axillary plexus block: a meta-analysis

Qin, Qin; Yang, Debao; Xie, Haiyang; Zhang, Liyuan; Wang, Chen

doi:10.1016/j.bjane.2015.01.002

Cited by 9 publications

(5 citation statements)

References 25 publications

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“…With similar results, Qin et al [8] evaluated real-time US guidance for BPB in 2,042 patients. In their multicenter study, they demonstrated that US guidance improved the success rate and reduced the mean time of onset of anesthesia.…”

Section: Discussionmentioning

confidence: 75%

Comparison of Supraclavicular, Infraclavicular, and Axillary Approaches for Ultrasound-Guided Brachial Plexus Block for Upper Limb Surgeries: A Retrospective Analysis of 182 Blocks

Kılıç

Akdemir²

2018

Dubai Med J

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Background: Supraclavicular (SCL), infraclavicular (ICL), and axillary (AX) brachial plexus nerve blocks are used for the upper extremity. Regional nerve blocks should be considered for their beneficial effects and less risk of complications. Objectives: The aim of this study was to conduct a retrospective evaluation of our experiences in ultrasound (US)-guided techniques of the SCL-ICL and AX approaches for brachial plexus block (BPB) in producing high-quality surgical anesthesia for operations below the shoulder. Methods: The records of 182 American Society of Anesthesiologists (ASA) grade I–III patients undergoing upper extremity and vascular surgeries under BPB by US guidance were evaluated. SCL, AX, and ICL approaches were used. A linear US probe was used for all patients. Data pertaining to demographic characteristics, ASA physical status, underlying diseases, block type, time between the block performance and the start of the operation, duration of the operation, type of surgeries, needle length, toxicity findings, postoperative complications, and success rates were assessed. Results: Demographic data were found to be similar with no statistically significant differences between the study groups (p > 0.05). The three groups were also similar in ASA physical status, type of surgery, the experience of the anesthesiologists who performed the blocks, the time between the end of the block performance and the start of the operation, and the quality of the surgical anesthesia. Transient Horner’s syndrome was detected in 3 patients in the SCL group and in 1 patient in the ICL group. Conclusions: All three approaches can be used for US-guided BPB with adequate quality of surgical anesthesia.

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Section: Discussionmentioning

confidence: 75%

Comparison of Supraclavicular, Infraclavicular, and Axillary Approaches for Ultrasound-Guided Brachial Plexus Block for Upper Limb Surgeries: A Retrospective Analysis of 182 Blocks

Kılıç

Akdemir²

2018

Dubai Med J

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“…Aksiller blok uygulamasında USG rehberliği başarı oranını artırmakta ve anestezi başlama zamanı ve blok performansı sü-resini azaltır. 9 Lokal anestetik ajan dağılımının USG rehberliğinde net görüntülenmesi lokal anestezi dozunu ve doz ilişkili yan etkileri azaltmak için bir gerekliliktir. 10 Yüksek volümde lokal anestetik ajan uygulanması toksik yan etkileri tetikleyebilmektedir.…”

Section: Gereç Ve Yöntemlerunclassified

The Retrospective Comparison of the Effects of Low and High Volume Practices in Ultrasonography Guided Axillary Brachial Plexus Block

Ceylan¹,

Başaran²,

Yağli³

et al. 2016

Turkiye Klinikleri J Anest Reanim

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“…Ultrasound visualization can display the nerves and surrounding structures in real time, and can guide the puncture needle to enter the target nerve. It can also show the spread of the drug around the nerve after injection, reducing the dosage of local anesthetics and improving the blocking effect (1,2), It has become the gold standard for nerve block (3).…”

Section: Introductionmentioning

confidence: 99%

Effect of different volumes of 0.375% ropivacaine on diaphragmatic paralysis by supraclavicular brachial plexus block under ultrasound guidance

2020

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Background: Supraclavicular brachial plexus block (SCBPB) is a traditional anesthesia technique widely used in upper limb surgery. Ultrasound-guided SCBPB shows the peripheral structure and dynamic local anesthetic diffusion and can greatly shorten the anesthesia operation time, increase the success rate of anesthesia, and reduce the incidence of complications. However, it can still block the phrenic nerve and paralyze the diaphragm, which can be difficult to avoid. This study investigated two different volumes of the same concentration of ropivacaine used in ultrasound-guided SCBPB, and compared the effects on the incidence of diaphragmatic paralysis, pulse oxygen saturation (SpO 2 ) and lung function in patients. Methods:The study group comprised 103 patients who were to undergo surgery on the right forearm or right hand. They were randomly divided into two groups: group A were given 20 mL 0.375% ropivacaine, and group B were given 30 mL 0.375% ropivacaine. We recorded the SpO 2 , forced vital capacity (FVC), and forced expiratory volume in 1 s (FEV1) before and 30 min after the block, and evaluated whether the patient had combined respiratory dysfunction according to the lung function indicators. We also recorded the maintenance time of anesthesia, the recovery time of motor block, and evaluated the effect of anesthesia. Results:The time to onset of motor block in group B was significantly shorter than in group A (P<0.05).After 30 min of blockade, the rate of diaphragmatic paralysis in group B under different breathing states was significantly higher than that of group A (P<0.05); after 30 min of blockade, the rate of partial paralysis of the diaphragm with forced breathing was significantly higher than the rate of partial paralysis of the diaphragm with calm breathing (P<0.05).Conclusions: Both 20 and 30 mL of 0.375% ropivacaine can achieve the ideal brachial plexus block with ultrasound-guided SCBPB, but compared with 20 mL of 0.375% ropivacaine, 30 mL of 0.375% ropivacaine is more likely to cause diaphragmatic paralysis.

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Ultrasound guidance improves the success rate of axillary plexus block: a meta-analysis

Abstract: The present study demonstrated that the real-time ultrasound guidance for axillary brachial plexus block improves the success rate and reduce the mean time to onset of anesthesia and the time of block performance.

Cited by 9 publications

References 25 publications

Comparison of Supraclavicular, Infraclavicular, and Axillary Approaches for Ultrasound-Guided Brachial Plexus Block for Upper Limb Surgeries: A Retrospective Analysis of 182 Blocks

Comparison of Supraclavicular, Infraclavicular, and Axillary Approaches for Ultrasound-Guided Brachial Plexus Block for Upper Limb Surgeries: A Retrospective Analysis of 182 Blocks

The Retrospective Comparison of the Effects of Low and High Volume Practices in Ultrasonography Guided Axillary Brachial Plexus Block

Effect of different volumes of 0.375% ropivacaine on diaphragmatic paralysis by supraclavicular brachial plexus block under ultrasound guidance

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