Comparison of Brachial Plexus Block Performed by Axillary Approach and Coracoid Infraclavicular Block for Upper Limb Surgery: A Clinical Study

Academia Anesthesiologica International

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Field Value
 
Title Comparison of Brachial Plexus Block Performed by Axillary Approach and Coracoid Infraclavicular Block for Upper Limb Surgery: A Clinical Study
 
Creator Varaprasad P Dora
Chinta Ramesh
D.S.S.K. Raju
 
Subject Axillary Approach
Brachial Plexus
Bupivacaine
Coracoid Approach
Flexion
Lidocaine
 
Description Background: PNBs (Peripheral Nerve Blocks) have a vital role with increasing attention in subjects undergoing ambulatory anesthesia. PNBs also have properties near to ideal anesthesia in Outpatient surgical cases. It is also associated with facilitated discharge and postoperative analgesia. The aims of the present study were conducted to compare the efficacy of brachial plexus block given by Coracoid infraclavicular route or axillary route with peripheral nerve stimulator concerning success and failure rates, block duration, motor block intensity, onset, and performance time. Subjects and Methods: The study included a total of 50 subjects from both genders divided into two groups of 25 subjects each given brachial plexus block using either coracoid route or axillary route. The local anesthetic agent used was 2% lidocaine with 0.5% bupivacaine mixed in equal parts for all the subjects. Results: It was seen that the axillary approach was better in efficacy concerning few incomplete blocks, more comfort, less pain, long duration, more intensity, and fast onset with 4 injections of local anesthetic agents compared to the two injections used in the coracoid approach. The long duration helped in achieving better postoperative analgesia. However, the coracoid approach was advantageous in subjects with arthritis and stiff shoulder joints as it could be given in an arm in a neutral position. Conclusion: The present study concludes that the axillary approach using four injections is more efficacious than two injections of the coracoid approach in terms of long duration, faster onset, and better analgesia.
 
Publisher Society for Health Care & Research Development
 
Date 2021-12-31
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
 
Format application/pdf
application/xml
text/html
application/epub+zip
 
Identifier https://aijournals.com/index.php/aan/article/view/2197
 
Source Academia Anesthesiologica International; Vol 6 No 2 (2021): July-December 2021; 45- 49
2456-7388
2617-5479
 
Language eng
 
Relation https://aijournals.com/index.php/aan/article/view/2197/2894
https://aijournals.com/index.php/aan/article/view/2197/2895
https://aijournals.com/index.php/aan/article/view/2197/2896
https://aijournals.com/index.php/aan/article/view/2197/2897
 
Rights Copyright (c) 2021 Author
https://creativecommons.org/licenses/by/4.0/
 

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