Ultrasound-guided supraclavicular brachial plexus block in pediatric patients -A report of four cases-

Yang, Chun Woo; Cho, Choon Kyu; Kwon, Hee Uk; Roh, Jaehoon; Heo, Youn Moo; Ahn, Sung Min

doi:10.4097/kjae.2010.59.s.s90

Cited by 18 publications

(8 citation statements)

References 17 publications

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“…ultrasound guidance. This is even more significant for pediatric patients, as they have always been considered to be at higher risk of procedural complications such as pneumothorax, nerve injury, and arterial injury while performing a supraclavicular brachial plexus block (YANG et al 2010).…”

Section: Introductionmentioning

confidence: 99%

“…An additive of particular interest that consistently prolongs the duration of local anesthetics is clonidine. However, at clinically studied doses of 1 μg.kg −1 and 2 μg.kg −1, the use of clonidine is associated with bradycardia, sedation and hypotension as side effects (YANG et al 2010;WAJEKAR et al 2016). To date, there is a paucity of studies evaluating the effect of different doses of clonidine on supraclavicular brachial plexus block in children, and there are no studies evaluating the effect of using a lower dose of 0.5 μg.kg −1 on blockade.…”

Section: Introductionmentioning

confidence: 99%

“…For decades, lidocaine was the local anesthetic of choice for spinal anesthesia. However, its use has been limited due to the short duration of action and its implication in transient neurological symptoms and cauda equina syndrome after intrathecal injection (YANG et al 2010). Until recently, 0.5% hyperbaric bupivacaine was the only drug used for spinal anesthesia in India after discontinuation of lidocaine.…”

Section: Introductionmentioning

confidence: 99%

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Comparative Study of Different Doses of Clonidine as an Adjuvant With Isobaric Levobupivacaine for Spinal Anesthesia: A Literature Review

Coelho¹,

Xavier²,

Júnior³

et al. 2022

JHS

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The need to find the lowest possible effective dose of clonidine to avoid its known side effects such as hypotension, bradycardia and sedation motivated us to design the present study. We compared different doses of clonidine as an adjuvant to intrathecal bupivacaine for spinal anesthesia in patients undergoing cesarean section in order to find the lowest possible effective dose. Spinal anesthesia is a safe, reliable and inexpensive technique, with the advantage of providing surgical anesthesia and prolonged postoperative pain relief, in addition to attenuating autonomic, somatic and endocrine responses to surgical stimulation.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Comparative Study of Different Doses of Clonidine as an Adjuvant With Isobaric Levobupivacaine for Spinal Anesthesia: A Literature Review

Coelho¹,

Xavier²,

Júnior³

et al. 2022

JHS

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“…The use of ultrasound allows imaging of the needle, nerves, surrounding anatomical structures and spread of local anesthesia. In addition, it can help avoid complications such as intraneural and intravascular injection [7].…”

Section: Introductionmentioning

confidence: 99%

Comparative Study between Ultrasound-Guided Fascia Iliaca Block Versus Adductor Canal Block for Postoperative Analgesia in Patients undergoing Knee Surgeries

Naser

Refaat

Shmaa

et al. 2021

JAMMR

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Background: Peripheral nerve block may provide effective unilateral postoperative analgesia following knee and hip surgeries with a lower incidence of opioid-related and autonomic side-effects, less motor block. Fascia iliaca block (FIB) and adductor canal block (ACB) have been shown to be a successful technique for postoperative pain relief after knee surgeries. The aim of our study was to compare the effect of ultrasound guided FIB versus ultrasound guided ACB for postoperative analgesia in patients undergoing knee surgeries. Methods: Our randomized controlled trial was conducted over 105 patients aged between 18 and 65 years, (ASA) class I and II undergoing knee surgeries. Patients divided into three groups: Group I control (C): Patients received spinal anesthesia alone. Group II (FIB): Patients received spinal anesthesia with postoperative ultrasound guided FIB. Group III (ACB): Patients received spinal anesthesia with postoperative ultrasound guided ACB. Results: Both FIB and ACB provided better pain control compared to control group. The need for first dose of supplemental analgesic was earlier in the control group than FIB and ACB groups postoperatively. Additionally, the total 24-h pethidine consumption was highest in the control group compared to fascia FIB and ACB groups. FIB was shown to reduce the strength of the quadriceps muscle, which resulted in delayed early postoperative mobilization and influencing patient satisfaction. There was statistically significant increase in heart rate and mean arterial blood pressure in group I as compared to group II and group III at 6hrs and 12hrs postoperatively. Conclusions: Both FIB and ACB provide excellent postoperative analgesia after knee surgeries, however the ACB is superior to FIB because it has no prolonged muscle weakness and FIB did.

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“…More recently several studies have revealed U.S guided nerve blocks a safe technique even in children as its advantages includes direct visualization of anatomical structures and needle advancement thus decreasing complications and early functional recovery [6]. As we needed good sedation for our patient we decided to use dexmedetomidine and ketamine.…”

mentioning

confidence: 99%

Ultrasound Guided Supraclavicular Block in Poland Syndrome : A Safe Alternative to General Anaesthesia

Asthana¹

2018

Int. J. Anesthesiol. Res.

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Poland syndrome is an uncommon, congenital anomaly characterized by multiple systems and organs involvement like musculoskeletal, lungs, heart, kidneys and haemopoetic system with absence of functional disability. Right sided Thorax deformity is the most common feature of this syndrome with the absence of underlying bones and muscles making this condition similar to open chest along with ipsilateral hand anomalies such as brachydactyly, syndactyly or ectodactyly [1]. The incidence of this syndrome is 1 per 30,000-50,000 live births [2]. Patients with Poland syndrome require anesthesia during surgical procedures to correct the associated deformities or the organ systems associated with the disease process. Literature shows that these patients may be more susceptible for malignant hyperthermia due to associated musculoskeletal abnormalities under general anesthesia [3]. Moreover respiratory problems and hypoxia in the perioperative period may be related to associated paradoxical breathing, lung hypoplasia and chest wall abnormalities in otherwise asymptomatic patient at rest. We report a diagnosed case of Poland syndrome presented for syndactly release Keywords: USG blocks, Supraclavicular approach.

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Ultrasound-guided supraclavicular brachial plexus block in pediatric patients -A report of four cases-

Cited by 18 publications

References 17 publications

Comparative Study of Different Doses of Clonidine as an Adjuvant With Isobaric Levobupivacaine for Spinal Anesthesia: A Literature Review

Comparative Study of Different Doses of Clonidine as an Adjuvant With Isobaric Levobupivacaine for Spinal Anesthesia: A Literature Review

Comparative Study between Ultrasound-Guided Fascia Iliaca Block Versus Adductor Canal Block for Postoperative Analgesia in Patients undergoing Knee Surgeries

Ultrasound Guided Supraclavicular Block in Poland Syndrome : A Safe Alternative to General Anaesthesia

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