COVID-19 Update - This is to inform you that the Government of India has announced a complete lockdown in India 22nd March 2020 to 3rd May 2020. As a result, our offices will now be closed till 3rd May 2020 and all our employees will be working from home. Office telephones will not be answered, and therefore you are requested to direct all your queries related to manuscript submission, review process, publication etc. at below mentioned details. editor@innovativepublication.com, rakesh.its@gmail.com, Mob. 8826373757, 8826859373, 9910947804


Print ISSN:-2394-4781

Online ISSN:-2394-4994

CODEN : IJCACT

Current Issue

Year 2020

Volume: 7 , Issue: 1

Article Access statistics

Viewed: 646

Emailed: 0

PDF Downloaded: 224

Indian Journal of Clinical Anaesthesia


A randomized comparative study on brachial plexus block using nerve stimulator: infraclavicular - coracoid approach vs supraclavicular approach


Full Text PDF Share on Facebook Share on Twitter


Author Details : A.Niranjan Kumar, NV. Madhava Krishna, VJ. Karthik, S. Mahalakshmi

Volume : 4, Issue : 1, Year : 2017

Article Page : 8-12


Suggest article by email

Abstract

Introduction: Pain relief with peripheral nerve block (PNB) is devoid of side effects such as somnolence, nausea, vomiting, hemodynamic instability and voiding difficulties inherent to general and central neuraxial anesthesia.
Aim: To compare the clinical efficacy of infraclavicular and supraclavicular approach of brachial plexus block by using peripheral nerve stimulator.
Materials & Methods: Sixty patients of ASA grade I and II undergoing upper limb surgeries were randomly assigned into two groups, Group I and Group S
group I: received infraclavicular block by coracoid approach,
group S: received Supraclavicular block.
Surgeries below the level of elbow were selected for this study.
Parameters observed were – block performance time, sensory and motor blockade, and its quality, duration of post op analgesia, and block related complications.
Results: Time to perform block, onset of both motor and sensory blockade, duration of post op analgesia were not different in group I and Group S. Success rate of blocking four nerves to the elbow (musculocutaneous, ulnar, radial, median,) was comparable between the groups. The incidence of complications in the form of vascular puncture was not significant in both group I and Group S.
Conclusion: From our study it is inferred that nerve locator guided Infraclavicular block of brachial plexus by coracoid approach is at least as rapidly executed as nerve locator guided Supraclavicular approach and produces a similar degree of surgical anaesthesia with similar complication rates.

 

How to cite : Kumar A, Krishna N M, Karthik V, Mahalakshmi S, A randomized comparative study on brachial plexus block using nerve stimulator: infraclavicular - coracoid approach vs supraclavicular approach. Indian J Clin Anaesth 2017;4(1):8-12

Copyright © 2017 by author(s) and Indian J Clin Anaesth. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC-BY-NC 4.0) (creativecommons.org)