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Journal Article
Can we use lower volume of local anesthetic for infraclavicular brachial plexus nerve block under ultrasound guidance in children?
2017
Overview
To determine if the infraclavicular brachial plexus block can be applied with lower volume of local anesthetic.
Randomised, double-blinded clinical trial.
60 patients aged 5–15years with ASA I–II who underwent emergent or elective arm, forearm or hand operations were included in the study.
Patients were divided into two groups randomly; standard volume local anesthetic administered group (Group S, n=30) and low volume anesthetic administered group (Group L, n=30).
Postoperative pain scores, sensory and motor block durations were noted.
Pain scores (Wong-Baker Face Scale) were evaluated and the results were detected to be similar at all times (30min, 1, 2, 4, 8, 12, 24h). Durations of motor block were 168(±16) minutes and 268(±15) minutes in Group L and Group S respectively and the difference was statistically significant (p<0.001). Durations of sensory block were 385(±26) and 402(±39) in Group L and Group S respectively and no statistically significant difference was detected (p=0.064).
Similar block success, postoperative sensory block durations and pain scores could be obtained during infraclavicular brachial plexus in pediatric patients with lower local anesthetic volumes.
•Local anesthetic toxicity is an important complication for peripheral nerve blocks.•Ultrasound guidance can be useful to apply the nerve block with lower volume.•Block quality, success and pain scores are similar in both lower and standard volume.
Publisher
Elsevier Inc,Elsevier Limited
Subject
/ Anesthesia & Perioperative Care
/ Anesthetics, Local - administration & dosage
/ Anesthetics, Local - adverse effects
/ Axillary Artery - diagnostic imaging
/ Brachial Plexus - drug effects
/ Brachial Plexus Block - methods
/ Child
/ Dose-Response Relationship, Drug
/ Female
/ Humans
/ Infraclavicular brachial plexus block
/ Male
/ Orthopedic Procedures - adverse effects
/ Pain
/ Pain, Postoperative - epidemiology
/ Pain, Postoperative - prevention & control
/ Patients
/ Ultrasonography, Interventional
/ Upper Extremity - blood supply
/ Upper Extremity - diagnostic imaging
