Ultrasound reduces the minimum effective local anaesthetic volume compared with peripheral nerve stimulation for interscalene block

McNaught, Andrew; Shastri, Uma; Carmichael, Nicole; Awad, Imad T.; Columb, Malachy O.; Cheung, Jeffrey J. H.; Holtby, Richard; McCartney, Colin J. L.

doi:10.1093/bja/aeq306

Cited by 136 publications

(85 citation statements)

References 15 publications

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“…It is likely that ultrasound guidance allows a more accurate and efficient deposition of perineural local anaesthetic [5,47,48]. The 1.7% rate of sensory deficit is comparable to other studies [49].…”

Section: Discussionsupporting

confidence: 55%

A systematic review of ultrasound‐guided methods for brachial plexus blockade

et al. 2015

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SummaryWe systematically reviewed 25 randomised controlled trials of ultrasound-guided brachial plexus blockade that recruited 1948 participants: either one approach vs another (axillary, infraclavicular or supraclavicular); or one injection vs multiple injections. There were no differences in the rates of successful blockade with approach, relative risk (95% CI): axillary vs infraclavicular, 1.0 (1.0-1.1), p = 0.97; axillary vs supraclavicular, 1.0 (1.0-1.1), p = 0.68; and infraclavicular vs supraclavicular, 1.0 (1.0-1.1), p = 0.32. There was no difference in the rate of successful blockade with the number of injections, relative risk (95% CI) 1.0 (1.0-1.0), p = 0.69, for one vs multiple injections. The rate of procedural paraesthesia was less with one injection than multiple injections, relative risk (95% CI) 0.6 (0.4-0.9), p = 0.004.

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Section: Discussionsupporting

confidence: 55%

A systematic review of ultrasound‐guided methods for brachial plexus blockade

et al. 2015

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“…There were no complications in US group. Our findings showed the (35)(36)(37). In our study, we used 0.5% bupivacaine and 2% lidocaine as did Gürkan et al (37) in their study.…”

Section: Discussionsupporting

confidence: 53%

Our Experience in Plexus Brachialis Block Using Ultrasonography and Nerve Stimulator

Kaçar¹,

Kılıç²,

Akelma³

et al. 2018

Haseki

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Aim:To compare our experiences of the brachial plexus block (BPB) using nerve stimulator (NS) and ultrasonography (US) for upper limb surgery. Methods:This retrospective study was designed in 186 American Society of Anesthesiologists I-II-III patients undergoing upper extremity surgery under BPB (supraclavicular, interscalene and infraclavicular block) by US guidance and NS. The patients were divided into two groups as US group (n=118) and NS group (n=68). Data on demographical characteristics, premedication, position, regional block approach, number of stimulator needles, dose of local anesthetics, and success rate were recorded.Results: Demographic data were similar and no statistically difference was recorded between the groups in nerve block method (interscalene, supraclavicular, infraclavicular) (p>0.05). 20 mL 0.5% bupivacaine + 10 mL 2% lidocaine were administered. Blocks were performed with a sedation regimen (1-3 mg midazolam). There was a significant difference in success rates between US (94.1%) and NS groups (80.9%) (p<0.005). Horner's syndrome was observed in three patients in NS group (4.4%), and four patients in US group (4.2). In addition, hematoma, local anesthetic toxicity and pneumothorax were observed in 3.1 and one patients, respectively, in NS group. Conclusion:Ultrasonographic guidance improves the success of regional anesthesia and causes less complication compared to block using NS.

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“…İSBPB ile yapılan çeşitli çalışmalarda postoperatif dönemde frenik sinir blokajı belirgindir (28)(29)(30). Ancak bu çalışmada her iki grupta da solunum sıkıntısı görülmedi.…”

Section: Discussionunclassified

The Effect of Ultrasound-Guided Interscalen Brachial Plexus Block Plus General Anesthesia for Postoperative Pain in Arthroscopıc Shoulder Surgery

Çiçekci¹,

Yıldırım²,

Önal³

et al. 2018

Acta Oncol Tur.

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Ultrasound reduces the minimum effective local anaesthetic volume compared with peripheral nerve stimulation for interscalene block

Abstract: US reduces the number of attempts, LA volume, and postoperative pain when compared with NS for ISB.

Cited by 136 publications

References 15 publications

A systematic review of ultrasound‐guided methods for brachial plexus blockade

A systematic review of ultrasound‐guided methods for brachial plexus blockade

Our Experience in Plexus Brachialis Block Using Ultrasonography and Nerve Stimulator

The Effect of Ultrasound-Guided Interscalen Brachial Plexus Block Plus General Anesthesia for Postoperative Pain in Arthroscopıc Shoulder Surgery

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