Effect of nerve localization using a pen device on the success of axillary brachial plexus block
JOURNAL OF INTERNATIONAL MEDICAL RESEARCH, cilt.42, sa.2, ss.337-346, 2014 (SCI-Expanded)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 42 Sayı: 2
- Basım Tarihi: 2014
- Doi Numarası: 10.1177/0300060513493848
- Dergi Adı: JOURNAL OF INTERNATIONAL MEDICAL RESEARCH
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.337-346
- Anahtar Kelimeler: Anaesthesia, regional, axillary block, peripheral neural stimulation, percutaneous nerve localization, PERCUTANEOUS ELECTRODE GUIDANCE, MULTIPLE-INJECTION, STIMULATION TECHNIQUES, ULTRASOUND GUIDANCE, PERIPHERAL-NERVES, TRANSARTERIAL, MEPIVACAINE, PRELOCATION, ANESTHESIA, PATIENT
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Akdeniz Üniversitesi Adresli: Evet
Özet
Abstract
Objective The effectiveness of axillary brachial plexus block (ABPB) performed using peripheral nerve stimulation (PNS) alone was compared with PNS preceded by nerve localization using a pen device, enabling nerve mapping without puncturing the skin.
Methods Patients undergoing unilateral hand or forearm surgery suitable for ABPB were randomly assigned to receive either PNS alone (pen-group) or PNS preceded by nerve localization using a pen device (pen+group). Parameters related to the block procedure and patient comfort were assessed.
Results Thirty patients were included in each group. The block performance time was longer in the pen+group than the pen-group despite a reduced number of needle insertions. The complete block rate was higher and intraoperative analgesic usage lower in the pen+group compared with the pen-group. Patient satisfaction and complication rates were similar in the two groups.
Conclusion The pen device seems to be a helpful addition to PNS for ABPB, with improved results in terms of block success and patient comfort, but further studies are needed to confirm these findings.