Does Ultrasound Guidance Improve the Success Rate of Infraclavicular Brachial Plexus Block When Compared with Nerve Stimulation in Children with Radial Club Hands?

Ponde, Vrushali; Diwan, Sandeep

doi:10.1213/ane.0b013e3181a2a252

Cited by 43 publications

(28 citation statements)

References 5 publications

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“…A total of 508 articles were rejected for the following reasons: 448 did not evaluate ultrasound-guided nerve blocks in surgical procedures, 30 were not RCTs, 24 did not compare ultrasound alone versus control, 5 did not assess upper or lower extremity single-shot nerve blocks, and one did not assess surgical success rate. Table 1 provides a detailed overview of the studies included in the analysis [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28]. Fig.…”

Section: Resultsmentioning

confidence: 99%

Analgesic efficacy of ultrasound-guided regional anesthesia: a meta-analysis

Gelfand¹,

Ouanes²,

Lesley³

et al. 2011

Journal of Clinical Anesthesia

105

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Section: Resultsmentioning

confidence: 99%

Analgesic efficacy of ultrasound-guided regional anesthesia: a meta-analysis

Gelfand¹,

Ouanes²,

Lesley³

et al. 2011

Journal of Clinical Anesthesia

105

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“…These conclusions were based on several different outcomes and demonstrated superiority for US guidance including shorter block performance time, 8,9,12,13,16,18,20,21,[27][28][29]31,33,35 fewer needle passes, 11,17,22,27,30 reduced incidence of vascular puncture, 8,15,16,19 increased proportion of patients with "block success" as defined by surgical anesthesia, 10,[14][15][16]18,20,21,24,[26][27][28][29]31,32,34 reduced procedural pain, 18,21,34 and more rapid sensory/motor onset. 9,10,17,23,30,34 Five studies concluded that there were no differences between nerve localization techniques.…”

Section: Studies Comparing Us With Another Nerve Localization Techniquementioning

confidence: 99%

Evidence Base for the Use of Ultrasound for Upper Extremity Blocks

Choi

McCartney

2016

Regional Anesthesia and Pain Medicine

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This article reviews and summarizes randomized, controlled studies that have assessed ultrasound (US) guidance for brachial plexus blocks in comparison with other nerve localization methods as well as those that have compared different US-guided brachial plexus block techniques. Both PubMed and EMBASE databases were searched using the MeSH terms anesthetic technique, brachial plexus, and ultrasound. Studies were included if they had randomized allocation comparing US with another conventional nerve localization technique or if they compared 2 different US-guided techniques, such as single versus multiple injections. Each study was classified as a categorical outcome as being supportive, unclear, or negative for the use of US. These were compared with χ analysis with the null hypothesis that US provides no benefit for brachial plexus blocks. Forty-seven studies met the inclusion criteria, and 29 compared US guidance to landmark or peripheral nerve stimulation techniques. Our analysis of the literature supports the use of US over other nerve localization techniques as being beneficial for several block performance outcomes including block performance time, reducing the number of needle passes and the incidence of vascular puncture, shortening sensory block onset time, and improving block success.

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“…A number of randomized and double-blinded studies involving infraclavicular and axillary nerve blocks have shown that ultrasonographic guidance is superior in terms of faster performance of the block, faster block onset, and improved block success [24][25][26] . In a meta-analysis of randomized studies comparing ultrasonographic guidance and neurostimulation, fifteen of nineteen studies showed that ultrasonographic guidance had significant benefits for supraclavicular nerve, infraclavicular nerve, and axillary nerve blocks 27 .…”

Section: Localization Techniques For Upper-extremity Nerve Blocksmentioning

confidence: 99%