Comparative study of lateral approach and subclavian perivascular approach of supraclavicular brachial plexus block using the peripheral nerve stimulators

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dc.contributor.authorRajan, S. Arulen_US
dc.contributor.authorBhavani, M.en_US
dc.contributor.authorMurugan, T.en_US
dc.date.accessioned2019-12-02T10:09:14Z
dc.date.available2019-12-02T10:09:14Z
dc.date.issued2018
dc.description.abstractIntroduction: Supraclavicular Brachial plexus block is commonly used for upper limb surgeries. Supraclavicular block described as spinal of the arm because of the dense motor and sensory blocked below mid humerus. Advantages of the supraclavicular block are potent intraoperative and postoperative analgesia, reduction in stress response, reduction in opioid requirements and general anesthesia-related side effects. The Aim of the study: To evaluate the success rate as well as the quality of blockade and clinical efficacy of the Lateral approach compared with the Subclavian Perivascular approach of brachial plexus block for upper limb surgeries and both approach guided by peripheral nerve stimulators. Materials and methods: Sixty patients of ASA grade I and II of either sex undergoing upper limb surgeries were randomly allocated into two groups I and II. Each group comprises of 30 patients. Surgery was done under the Lateral approach of Brachial plexus Block in group I and under the subclavian perivascular approach of Brachial plexus block in group II. Results: Time to perform the block was shorter, Number of attempts was less and complications were less by the Lateral approach when compared to subclavian Perivascular approach. Conclusion: Supraclavicular block of brachial plexus by Lateral approach provides an adequate sensory blockade and motor blockade, with less time to perform block and reduced number of S. Arul Rajan, M. Bhavani, T. Murugan. Comparative study of lateral approach and subclavian perivascular approach of supraclavicular brachial plexus block using the peripheral nerve stimulators. IAIM, 2018; 5(5): 57-62. Page 58 attempts and good tourniquet tolerance, and high success rate and fewer complications when compared to subclavian perivascular approach.en_US
dc.identifier.affiliationsSenior Assistant Professor, Department of Anesthesiology, Kilpauk Medical College, Chennai, Affiliated to Tamil Nadu Dr. M.G.R. Medical University, Tamil Nadu, Indiaen_US
dc.identifier.affiliationsAssistant Professor, Department of Anesthesiology, Kilpauk Medical College, Chennai, Affiliated to Tamil Nadu Dr. M.G.R. Medical University, Tamil Nadu, India, mbaval75@yahoo.co.inen_US
dc.identifier.affiliationsProfessor, Department of Anesthesiology, Kilpauk Medical College, Chennai, Affiliated to Tamil Nadu Dr. M.G.R. Medical University, Tamil Nadu, Indiaen_US
dc.identifier.citationRajan S. Arul, Bhavani M., Murugan T. . Comparative study of lateral approach and subclavian perivascular approach of supraclavicular brachial plexus block using the peripheral nerve stimulators. International Archives of Integrated Medicine. 2018 May; 5(5): 63-68en_US
dc.identifier.issn2394-0026
dc.identifier.issn2394-0034
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/187048
dc.languageenen_US
dc.publisherEducational Society for Excellenceen_US
dc.relation.issuenumber5en_US
dc.relation.volume5en_US
dc.subjectSupraclavicular Brachial Plexus Blocken_US
dc.subjectLateral Approachen_US
dc.subjectSubclavian Perivascular Approachen_US
dc.titleComparative study of lateral approach and subclavian perivascular approach of supraclavicular brachial plexus block using the peripheral nerve stimulatorsen_US
dc.typeJournal Articleen_US
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