Comparative study between nerve stimulator guided technique and ultrasound guided technique of supraclavicular nerve block for upper limb surgery

Ratnawat, Anil; Bhati, Fateh Singh; Khatri, Chanda; Srinivasan, Bharath; Sangwan, Pushpender; Chouhan, Dilip Singh

doi:10.18203/2320-6012.ijrms20161768

Cited by 7 publications

(10 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…in which the mean onset time of sensory and motor block was significantly shorter in USG group (6.46 ± 1.02 min and 8.10 ± 1.02 min, respectively) compared to the PNS group (7.68 ± 1.33 min and 9.94 ± 1.28 min, respectively). [ 10 ] However, our findings were in contrary to the study done by Duncan et al ., in which the onset time of sensory and motor block was comparable between the USG and PNS groups. [ 11 ]…”

Section: Discussioncontrasting

confidence: 99%

“…found a significantly shorter time to perform the block with USG than the PNS. [ 9 10 ] However, Duncan et al . observed a comparable procedural time with the above two techniques.…”

Section: Discussionmentioning

confidence: 99%

“…observed a significantly prolonged duration of sensory and motor block in USG group (8.13 ± 1.63 h and 7.13 ± 1.63 h respectively) than the PNS group (6.14 ± 2.36 h and 5.14 ± 2.36 h, respectively) with 30 ml of 0.5% ropivacaine solution. [ 10 ] Singh et al . also observed a prolonged block with USG.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Comparison of ultrasound with peripheral nerve stimulator guided technique for supraclavicular block in upper limb surgeries: A randomized controlled trial

Alfred¹,

Srinivasan²,

Zachariah³

2018

Anesth Essays Res

View full text Add to dashboard Cite

Background:The supraclavicular approach is considered to be the easiest and most effective approach to block the brachial plexus for upper limb surgeries. The classical approach using the anatomical landmark technique was associated with higher failure rates and complications. Ultrasonography (USG) guidance and peripheral nerve stimulator (PNS) have improved the success rates and safety margin.Aims:The aim of the present study is to compare USG with PNS in supraclavicular brachial plexus block for upper limb surgeries with respect to the onset of motor and sensory blockade, total duration of blockade, procedure time, and complications.Settings and Design:Prospective, randomized controlled study.Subject and Methods:Sixty patients aged above 18 years scheduled for elective upper limb surgery were randomly allocated into two groups. Group A patients received supraclavicular brachial plexus block under ultrasound guidance and in Group B patients, PNS was used. In both groups, local anesthetic mixture consisting of 15 ml of 0.5% bupivacaine and 10 ml of 2% lignocaine with 1:200,000 adrenaline were used.Statistical Analysis:Independent t-test used to compare mean between groups; Chi-square test for categorical variables.Results:The procedure time was shorter with USG (11.57 ± 2.75 min) compared to PNS (21.73 ± 4.84). The onset time of sensory block (12.83 ± 3.64 min vs. 16 ± 3.57 min) and onset of motor block (23 ± 4.27 min vs. 27 ± 3.85 min) were significantly shorter in Group A compared to Group B (P < 0.05). The duration of sensory block was significantly prolonged in Group A (8.00 ± 0.891 h) compared to Group B (7.25 ± 1.418 h). None of the patients in either groups developed any complications.Conclusion:The ultrasound-guided supraclavicular brachial plexus block can be done quicker, with a faster onset of sensory and motor block compared to nerve stimulator technique.

show abstract

Section: Discussioncontrasting

confidence: 99%

“…found a significantly shorter time to perform the block with USG than the PNS. [ 9 10 ] However, Duncan et al . observed a comparable procedural time with the above two techniques.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of ultrasound with peripheral nerve stimulator guided technique for supraclavicular block in upper limb surgeries: A randomized controlled trial

Alfred¹,

Srinivasan²,

Zachariah³

2018

Anesth Essays Res

View full text Add to dashboard Cite

show abstract

“…If physically possible, it is advised to perform all peripheral nerve blocks under ultrasonographic guidance in order to increase safety and the success of the block [ 11 – 13 ]. However, when ultrasonography is not available, performance of peripheral nerve block using a traditional nerve stimulator (NS) is also a safe technique [ 14 ].…”

mentioning

confidence: 99%

Evaluation of analgesic regimens in total knee artroplasty, retrospective study

Tulgar

Selvi

Şentürk

et al. 2017

North Clin Istanbul

View full text Add to dashboard Cite

OBJECTIVE:Analgesic therapies have an immense role in early rehabilitation period after total knee arthroplasty (TKA) and multimodal approaches should be considered as the first choice of treatment. In this retrospective study, the aim was to evaluate the effectiveness of multimodal analgesic therapies for TKA, including femoral nerve block (FNB) and patient controlled analgesia (PCA).METHODS:The data of 79 patients who underwent TKA between January and December 2016 were retrospectively evaluated. In all, 63 patients met the inclusion criteria. Hemodynamic records and Visual Analogue Scale (VAS) pain scores for postoperative 0, 2, 4, 6, 9, and 12 hours were evaluated and patients were separated into 3 groups. Group 1: FNB with 0.25% bupivacaine, Group 2: FNB with 0.166% bupivacaine, and Group 3: No FNB.RESULTS:The average age of the patients was 64.3±14.9 years and average body mass index (BMI) was 32.5±5.3 kg/m2. There was no statistical difference between groups in age, gender, American Society of Anesthesiologists (ASA) classification of physical health scores, BMI, or anesthesia type (p<0.05). When VAS scores at postoperative time intervals were compared, there was a statistically significant difference between Group 1 and Group 2 (p>0.05). When difference between Groups 1 and 3 and Groups 2 and 3 were compared, the difference was statistically significant for VAS 0 (p>0.05). Additional analgesic use was highest in Group 3.CONCLUSION:This study demonstrated that FNB significantly decreases postoperative pain intensity and additional analgesia requirement in patients undergoing TKA. A concentration of 0.166% bupivacaine is as effective as a concentration of 0.25% when used as part of a multimodal analgesia regimen in TKA.

show abstract

“…The mean commencement period for sensory and motor block is initiated meaningfully less for set US, 2.72 ± 0.99 min and 6.06 ± 1.41 min as compared to set NS ,6.05 ± 0.90 min and 11.30 ± 0.84 min respectively. (p<0.0001) [18][19] . In our study, we found that time to attain whole block is 12.92±1.12 min in set US [14] initiate that mean period of sensory and motor block in US set is 5.29 ± 0.82 ℎ 5.05 ± 0.67 ℎ , 4.73 ± 0.81 ℎ 4.58 ± 0.73 ℎ .…”

Section: Perceptions and Resultsmentioning

confidence: 86%

An analytical study and comparison of ultra-sound supraclavicular brachial plexus block with nerve stimulator

Susmitha¹,

Vishnu²,

Kumar³

2020

ASRO

View full text Add to dashboard Cite

Comparative study between nerve stimulator guided technique and ultrasound guided technique of supraclavicular nerve block for upper limb surgery

Cited by 7 publications

References 8 publications

Comparison of ultrasound with peripheral nerve stimulator guided technique for supraclavicular block in upper limb surgeries: A randomized controlled trial

Comparison of ultrasound with peripheral nerve stimulator guided technique for supraclavicular block in upper limb surgeries: A randomized controlled trial

Evaluation of analgesic regimens in total knee artroplasty, retrospective study

An analytical study and comparison of ultra-sound supraclavicular brachial plexus block with nerve stimulator

Contact Info

Product

Resources

About