Ultrasound guidance for infraclavicular brachial plexus anaesthesia in children

Marhofer, Peter; Sitzwohl, Christian; Greher, Manfred; Kapral, Stephan

doi:10.1111/j.1365-2044.2004.03669.x

Cited by 267 publications

(157 citation statements)

References 16 publications

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“…For example, Williams et al 16 reported adequate surgical anesthesia without rescue in 85% and 78% of patients receiving ultrasound and nerve stimulator guided supraclavicular blocks, respectively. Liu et al 17 reported success rates of 73% and 70% for ultrasound and nerve stimulator guided axillary blocks, respectively, and Marhofer et al 18 reported a 100% success rate for pediatric infraclavicular block guided by either technique. Soeding et al 19 compared ultrasound with landmark guidance and reported successful surgical anesthesia in 95% and 90% of patients, respectively.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound guidance improves success rate of axillary brachial plexus block

Chan

Perlas

McCartney

et al. 2007

Can J Anesth/J Can Anesth

344

168

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Purpose: The purpose of this study is to determine if real time ultrasound guidance improves the success rate of axillary brachial plexus blockade. Methods:Patients undergoing elective hand surgery were randomly assigned to one of three groups. Axillary blocks were performed using three motor response endpoints in the nerve stimulator (NS) Group, real-time ultrasound guidance in the ultrasound (US) Group and combined ultrasound and nerve stimulation in the USNS Group. Following administration of a standardized solution containing 2% lidocaine with 1:200,000 epinephrine and 0.5% bupivacaine (total 42 mL), sensory and motor functions were assessed by a blinded observer every five minutes for 30 min. A successful block was defined as complete sensory loss in the median, radial and ulnar nerve distribution by 30 min. The need for local and general anesthesia supplementation and post-block adverse events were documented. Results:One hundred and eighty-eight patients completed the study. Block success rate was higher in Groups US and USNS (82.8% and 80.7%) than Group NS (62.9%) (P = 0.01 and 0.03 respectively). Fewer patients in Groups US and USNS required supplemental nerve blocks and/or general anesthesia. Postoperatively, axillary bruising and pain were reported more frequently in Group NS. Conclusion: This study demonstrates that ultrasound guidance, with or without concomitant nerve stimulation, significantly improves the success rate of axillary brachial plexus block. EG et EGNS (82,8 % et 80,7 %) que dans le groupe NS (62,9 %) (P = 0,01 et 0,03 respectivement Méthode : Des patients devant subir une chirurgie élective de la main ont été randomisés en trois groupes. Des blocs axillaires ont été effectués en utilisant : trois points de réponses motrices dans le groupe neurostimulateur (NS), l'échoguidage en temps réel dans le groupe échographie (EG), et l'échographie combinée à la stimulation nerveuse dans le troisième groupe (EGNS

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Section: Discussionmentioning

confidence: 99%

Ultrasound guidance improves success rate of axillary brachial plexus block

Chan

Perlas

McCartney

et al. 2007

Can J Anesth/J Can Anesth

344

168

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“…Уль-тразвуковая навигация и электростимуляция пери-ферических нервов значительно повышают уровень безопасности блокад и успех их выполнения [3,19,20,21,26,36,41].…”

Section: вве дениеunclassified

The regional anesthesia for surgical correction of the malformation of upper extremities in pediatric

Manokhina

Александровна²

2017

Pediatr (SPb)

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The article presents an analysis of the publications devoted to the problems of anesthesia to surgical procedures at the malformations of the upper extremity in children. The article reviews the questions of epidemiology, classification of upper extremity malformation, safety of anesthesia and the role of regional blockades in the structure of intraoperative and postoperative analgesia to surgical procedures at the malformations of the upper extremity in children. Children are more likely than adults to experience stress in the operating room and early postoperative period. Children are almost impossible to prepare psychologically for the upcoming anesthesia, surgical intervention, a sense of pain after it. Surgical correction of malformations of the upper limbs in children is characterized by multistage and high traumatism, which requires the search for adequate methods of anesthesia, capable of ensuring not only the absence of pain, but also the negative impact on the nervous system of little patients. The key to the application of regional anesthesia in young children is the need for sedation or general anesthesia. The use of ultrasound navigation and electrostimulation of peripheral nerves significantly increases the level of safety and success of their realization. At present, the questions about the duration of postoperative analgesia with the use of peripheral nerve blocks and the need for additional anesthesia in the early postoperative period have been little studied. The influence of the applied anesthesia technique on the state of young children in the postoperative period are requires further investigation.

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“…Beş yaş üzeri çocuklarda analjezik ihtiyacı Verbal Pain Scale (VPS, en düşük 0, en yüksek 10 puan) ile değerlendirildi ve her iki skorlamada da 5 puan ve üzerinde 0. Tartışma US'nun son on yılda kullanımın yaygınlaşmasıyla çocuklarda da rejyonal blokların uygulaması artış göstermiştir (8,9). Aslında çocuklarda US teknik olarak erişkinlere oranla daha avantajlı olduğu düşünülmektedir.…”

Section: Gereç Ve Yöntemlerunclassified

Ultrasound-guided regional anesthesia for orthopedic surgery in pediatric patients

Şahin¹,

Şahin²,

Aktas³

et al. 2011

Gaziantep Med J

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ÖzetUltrasonun (US) kullanıma girmesi pediatrik rejyonal anestezide çok önemli gelişmelere yol açmış ve US kılavuzluğu ile zor rejyonal uygulamalar dahi çocuklarda yapılabilir hale gelmiştir. Biz bu çalışmada kliniğimizde ortopedi ameliyat salonunda son 1 yılda opere edilen yaşları 1 ile 16 arasında değişen 81 pediatrik olguya intraoperatif anestezi, analjezi veya postoperatif analjezi amacıyla yaptığımız US kılavuzluğunda periferik sinir ve pleksus bloklarını literatür bilgileri ışığında tartışmayı amaçladık. Bu çalışma için hastaların anestezi formları, rejyonal anestezi değerlendirme formları, hemşire gözlem formları ve hastane çıkış epikrizleri kullanıldı. Hastaların bireysel özellikleri (yaş, cinsiyet, vücut ağırlığı, boy), ASA skorları, anestezi özellikleri, postoperatif analjezi ve motor blok süreleri, ve komplikasyonlar kaydedildi. Hastaların ortalama analjezi süresi üst ekstremite ve alt ekstremite için sırasıyla 5.8 ± 1.6 saat ve 8.7 ± 2.5 saat, motor blok süresi üst ekstremite ve alt ekstremite için sırasıyla 3.6 ± 0.7 saat ve 5.3 ± 1.8 saat olarak bulundu. Üç hastada başarısız veya yetersiz blok mevcuttu. Ortopedik cerrahi uygulanan pediatrik hastalarda rejyonal bloklar US-kılavuzluğunda etkin ve güvenli bir şekilde uygulanabilir ve yüksek başarı, minimal komplikasyon oranına sahiptir. Anahtar kelimeler: Ortopedik cerrahi; pediatrik; rejyonal anestezi; ultrason Abstract Introduction of the use of ultrasound (US) has led to very important developments in pediatric regional anesthesia and made applications, which are hard or even impossible to perform, applicable by the guidance of US. In this study, we aimed to discuss USguided peripheral nerve and plexus blocks that we made for intraoperative anesthesia, analgesia or postoperative analgesia in 81 pediatric patients ranging from ages 1 to 16 who were operated in the last year. For this study, anesthesia forms, evaluation forms of regional anesthesia, observation forms for nurses, and hospital epicrises of patients were used. Demographic data (age, sex, weigh, height), ASA scores, anesthetic properties, postoperative duration of analgesia and motor block and complications of patients were recorded. Estimated mean duration of analgesia for upper and lower extremities were 5.8 ± 1.6 h, and 8.7 ± 2.5 h, respectively, the duration of motor block for upper and lower extremities were 3.6 ± 0.7 h, 5.3 ± 1.8 h, respectively. Failed or insufficient block count was three. In orthopedic surgery applied pediatric patients US-guided regional blocks can be applied effectively and safely and it has high achievement and minimal complication rates.

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Ultrasound guidance for infraclavicular brachial plexus anaesthesia in children

Cited by 267 publications

References 16 publications

Ultrasound guidance improves success rate of axillary brachial plexus block

Ultrasound guidance improves success rate of axillary brachial plexus block

The regional anesthesia for surgical correction of the malformation of upper extremities in pediatric

Ultrasound-guided regional anesthesia for orthopedic surgery in pediatric patients

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