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Infraclavicular brachial plexus block

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https://www.readbyqxmd.com/read/27828793/comparison-of-supraclavicular-and-infraclavicular-brachial-plexus-block-a-systemic-review-of-randomized-controlled-trials
#1
Sun-Kyung Park, Su-Young Lee, Won Ho Kim, Han-Seul Park, Young-Jin Lim, Jae-Hyon Bahk
BACKGROUND: Supraclavicular (SC) and infraclavicular (IC) brachial plexus block (BPB) are commonly used for upper extremity surgery. Recent clinical studies have compared the effect of SC- and IC-BPB, but there have been controversies over spread of sensory blockade in each of the 4 peripheral nerve branches of brachial plexus. METHODS: This study included a systemic review, using the Medline and EMBASE database from their inceptions through March 2016. Randomized controlled trials (RCTs) comparing SC- and IC-BPB were included...
November 8, 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27790416/accessory-upper-subscapular-nerve-the-neurotisation-tool
#2
Vishwajit Ravindra Deshmukh, Rabindra Prasad Mandal, Harisha Kusuma, Neerja Rani
During the routine dissection classes for undergraduate students, uncommon variation in relation to the upper subscapular nerve of posterior cord of brachial plexus was observed. Normally upper subscapular nerve takes origin from the posterior cord, but in this case report, it arises in triplet fashion, just above the circumflex scapular artery. All these accessory nerves were supplying upper part of the subscapularis muscle. As per our knowledge, this is a rare variation of brachial plexus. Many variations are encountered in the formation of brachial plexus...
September 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27524691/distal-peripheral-nerve-blocks-in-the-forearm-as%C3%A2-an-alternative-to-proximal-brachial-plexus-blockade-in-patients-undergoing-hand-surgery-a-prospective-and-randomized-pilot-study
#3
José R Soberón, Joseph W Crookshank, Bobby D Nossaman, Clint E Elliott, Leslie E Sisco-Wise, Scott F Duncan
PURPOSE: Limited data exist regarding the role of perineural blockade of the distal median, ulnar, and radial nerves as a primary anesthetic in patients undergoing hand surgery. We conducted a prospective and randomized pilot study to compare these techniques to brachial plexus blocks as a primary anesthetic in this patient population. METHODS: Sixty patients scheduled for hand surgery were randomized to receive either an ultrasound-guided supraclavicular, infraclavicular, or axillary nerve block (brachial plexus blocks) or ultrasound-guided median, ulnar, and radial nerve blocks performed at the level of the mid to proximal forearm (forearm blocks)...
October 2016: Journal of Hand Surgery
https://www.readbyqxmd.com/read/27501616/onset-time-of-2-lidocaine-and-0-5-bupivacaine-mixture-versus-0-5-bupivacaine-alone-using-ultrasound-and-double-nerve-stimulation-for-infraclavicular-brachial-plexus-anesthesia-in-esrd-patients-undergoing-arteriovenous-fistula-creation
#4
RANDOMIZED CONTROLLED TRIAL
Orawan Pongraweewan, Nipa Inchua, Chanatthee Kitsiripant, Benchawan Kongmuang, Wannapa Tiwirach
OBJECTIVE: To reduce the onset of 0.5% bupivacaine by adding 2% lidocaine with 0.5% bupivacaine for ultrasound-guided and double stimulation technique at musculocutaneous and radial nerve for infraclavicular brachial plexus block. DESIGN: Prospective randomized double-blinded, controlled trial study. MATERIAL AND METHOD: 90 patients undergoing creation of arteriovenous fistula under ultrasound-guided infraclavicular brachial plexus block were randomized into 2 groups...
May 2016: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
https://www.readbyqxmd.com/read/27396247/a-randomised-placebo-controlled-trial-examining-the-effect-on-hand-supination-after-the-addition-of-a-suprascapular-nerve-block-to-infraclavicular-brachial-plexus-blockade
#5
S Flohr-Madsen, L M Ytrebø, K Valen, T Wilsgaard, Ø Klaastad
Some surgeons believe that infraclavicular brachial plexus blocks tends to result in supination of the hand/forearm, which may make surgical access to the dorsum of the hand more difficult. We hypothesised that this supination may be reduced by the addition of a suprascapular nerve block. In a double-blind, randomised, placebo-controlled study, our primary outcome measure was the amount of supination (as assessed by wrist angulation) 30 min after infraclavicular brachial plexus block, with (suprascapular group) or without (control group) a supplementary suprascapular block...
August 2016: Anaesthesia
https://www.readbyqxmd.com/read/27101216/comparison-of-the-supraclavicular-infraclavicular-and-axillary-approaches-for-ultrasound-guided-brachial-plexus-block-for-surgical-anesthesia
#6
Anatoli Stav, Leonid Reytman, Michael-Yohay Stav, Isaak Portnoy, Alexander Kantarovsky, Offer Galili, Shmuel Luboshitz, Roger Sevi, Ahud Sternberg
OBJECTIVE: We hypothesized that ultrasound (US)-guided technique of the supra- and infraclavicular and axillary approaches of brachial plexus block (BPB) will produce a high quality of surgical anesthesia for operations below the shoulder independently of the approach and body mass index (BMI). Intercostobrachial and medial brachial cutaneous nerves will be blocked separately because they are not a part of the brachial plexus. METHODS: This is a prospective randomized observer-blinded study...
2016: Rambam Maimonides Medical Journal
https://www.readbyqxmd.com/read/27035461/anatomic-basis-for-brachial-plexus-block-at-the-costoclavicular-space-a-cadaver-anatomic-study
#7
Xavier Sala-Blanch, Miguel Angel Reina, Pawinee Pangthipampai, Manoj Kumar Karmakar
BACKGROUND AND OBJECTIVES: The costoclavicular space (CCS), which is located deep and posterior to the midpoint of the clavicle, may be a better site for infraclavicular brachial plexus block than the traditional lateral paracoracoid site. However, currently, there is paucity of data on the anatomy of the brachial plexus at the CCS. We undertook this cadaver anatomic study to define the anatomy of the cords of the brachial plexus at the CCS and thereby establish the anatomic basis for ultrasound-guided infraclavicular brachial plexus block at this proximal site...
May 2016: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/27015546/a-multicenter-randomized-comparison-between-intravenous-and-perineural-dexamethasone-for-ultrasound-guided-infraclavicular-block
#8
Prangmalee Leurcharusmee, Julian Aliste, Tom C R V Van Zundert, Phatthanaphol Engsusophon, Vanlapa Arnuntasupakul, Worakamol Tiyaprasertkul, Amornrat Tangjitbampenbun, Sonia Ah-Kye, Roderick J Finlayson, De Q H Tran
BACKGROUND AND OBJECTIVES: This multicenter, randomized trial compared intravenous (IV) and perineural (PN) dexamethasone for ultrasound (US)-guided infraclavicular brachial plexus block. Our research hypothesis was both modalities would result in similar durations of motor block. METHODS: One hundred fifty patients undergoing upper limb surgery with US-guided infraclavicular block were randomly allocated to receive IV or PN dexamethasone (5 mg). The local anesthetic agent (35 mL of lidocaine 1%-bupivacaine 0...
May 2016: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/26711227/proximal-approach-for-ultrasound-guided-infraclavicular-brachial-plexus-block
#9
Takayuki Yoshida, Yoshiko Watanabe, Kenta Furutani
No abstract text is available yet for this article.
March 2016: Acta Anaesthesiologica Taiwanica: Official Journal of the Taiwan Society of Anesthesiologists
https://www.readbyqxmd.com/read/26566960/a-randomised-comparison-between-ultrasound-and-nerve-stimulation-for-infraclavicular-catheter-placement
#10
RANDOMIZED CONTROLLED TRIAL
S Dhir, K Armstrong, P Armstrong, A Bouzari, J Mall, J Yu, S Ganapathy, G King
We conducted this study to determine if placement of infraclavicular catheters guided by ultrasound is quicker than placement guided by nerve stimulation. Infraclavicular brachial plexus catheters were inserted in 210 randomly allocated patients who were scheduled for elective hand or elbow surgery. Needle and catheter placement was guided by ultrasound (n = 105) or by nerve stimulation (n = 105). The primary outcome was time to sensory block success. Success rate was similar between the two techniques (83...
February 2016: Anaesthesia
https://www.readbyqxmd.com/read/26473102/do-the-concentration-and-volume-of-local-anesthetics-affect-the-onset-and-success-of-infraclavicular-anesthesia
#11
Faramarz Mosaffa, Babak Gharaei, Mohammad Qoreishi, Sajjad Razavi, Farhad Safari, Mohammad Fathi, Gholamreza Mohseni, Hedayatollah Elyasi, Fahimeh Hosseini
BACKGROUND: Although local anesthesia is a suitable method for upper limb surgeries, there is debate regarding the effects of appropriate dosing. OBJECTIVES: In the current study, we investigated the effects of the concentration and volume of a local anesthetic on the beginning and quality of anesthesia during upper limb orthopedic surgeries. PATIENTS AND METHODS: This double-blinded, randomized, clinical trial was conducted on 60 patients aged between 18 and 85 years candidated for upper limb orthopedic operations...
August 2015: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/26330715/comparison-of-dexamethasone-and-clonidine-as-an-adjuvant-to-1-5-lignocaine-with-adrenaline-in-infraclavicular-brachial-plexus-block-for-upper-limb-surgeries
#12
Dipal Mahendra Shah, Mahesh Arora, Anjan Trikha, Ganga Prasad, Rani Sunder, Prakash Kotwal, Preet Mohinder Singh
BACKGROUND AND AIMS: The role of clonidine as an adjuvant to regional blocks to hasten the onset of the local anesthetics or prolong their duration of action is proven. The efficacy of dexamethasone compared to clonidine as an adjuvant is not known. We aimed to compare the efficacy of dexamethasone versus clonidine as an adjuvant to 1.5% lignocaine with adrenaline in infraclavicular brachial plexus block for upper limb surgeries. MATERIAL AND METHODS: Fifty three American Society of Anaesthesiologists-I and II patients aged 18-60 years scheduled for upper limb surgery were randomized to three groups to receive 1...
July 2015: Journal of Anaesthesiology, Clinical Pharmacology
https://www.readbyqxmd.com/read/26330706/ultrasound-guided-distal-peripheral-nerve-block-of-the-upper-limb-a-technical-review
#13
REVIEW
Herman Sehmbi, Caveh Madjdpour, Ushma Jitendra Shah, Ki Jinn Chin
Upper extremity surgery is commonly performed under regional anesthesia. The advent of ultrasonography has made performing upper extremity nerve blocks relatively easy with a high degree of reliability. The proximal approaches to brachial plexus block such as supraclavicular plexus block, infraclavicular plexus block, or the axillary block are favored for the most surgical procedures of distal upper extremity. Ultrasound guidance has however made distal nerve blocks of the upper limb a technically feasible, safe and efficacious option...
July 2015: Journal of Anaesthesiology, Clinical Pharmacology
https://www.readbyqxmd.com/read/26231527/ultrasound-guided-infraclavicular-brachial-plexus-block-for-emergency-management-of-a-posterior-elbow-dislocation
#14
Thomas Heflin, Terry Ahern, Andrew Herring
No abstract text is available yet for this article.
September 2015: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/26194896/posterior-parasagittal-in-plane-ultrasound-guided-infraclavicular-brachial-plexus-block-a-case-series
#15
Zhi Yuen Beh, M Shahnaz Hasan, Hou Yee Lai, Normadiah M Kassim, Siti Rosmani Md Zin, Kin Fah Chin
BACKGROUND: The brachial plexus at the infraclavicular level runs deeper compared to its course proximally, giving rise to impaired needle visualisation due to the steep angle of needle insertion with the current ultrasound-guided approach. A new posterior parasagittal in-plane ultrasound-guided infraclavicular approach was introduced to improve needle visibility. However no further follow up study was done. METHODS: We performed a case series and a cadaveric dissection to assess its feasibility in a single centre, University of Malaya Medical Centre, Kuala Lumpur, Malaysia from November 2012 to October 2013...
2015: BMC Anesthesiology
https://www.readbyqxmd.com/read/26118780/-bilateral-brachial-plexus-block-case-report-and-systematic-review
#16
REVIEW
Gabriel Enrique Mejia-Terrazas, María de Ángeles Garduño-Juárez, Marisol Limón-Muñoz, Areli Seir Torres-Maldonado, Raúl Carrillo-Esper
BACKGROUND: The bilateral brachial plexus block is considered a contraindication, due to the possible development of complications, such as: toxicity from local anaesthetics or bilateral diaphragmatic paralysis. However, with the real time visualisation provided by the ultrasound scan, these complications have decreased and it is a safer procedure. CLINICAL CASES: Four cases are presented where the bilateral block was performed using guided ultrasound, as the patients were unable to receive general anaesthesia due to a history of adverse effects or the use of opioids in the post-operative or by the prediction of a difficult airway associated with obesity...
July 2015: Cirugia y Cirujanos
https://www.readbyqxmd.com/read/26099758/comparison-of-ultrasound-guided-supraclavicular-infraclavicular-and-below-c6-interscalene-brachial-plexus-block-for-upper-limb-surgery-a-randomised-observer-blinded-study
#17
RANDOMIZED CONTROLLED TRIAL
N Bharti, N Bhardawaj, J Wig
This prospective, randomised, observer-blinded study was conducted to compare the ease of performance and surgical effectiveness of interscalene block below the C6 nerve root with supraclavicular and infraclavicular techniques of brachial plexus block for upper arm and forearm surgery. Sixty adult patients of American Society of Anesthesiologists grade 1 to 3, undergoing upper limb surgery, were randomly allocated into three groups. Group SC received supraclavicular blockade, group IC received infraclavicular blockade and Group IS received interscalene blockade...
July 2015: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/25982603/-ultrasound-guided-continuous-infraclavicular-block-for-hand-surgery-technical-report-arm-position-for-perineural-catheter-placement
#18
Guadalupe Zaragoza-Lemus, Verónica Hernández-Gasca, Alejandro Espinosa-Gutiérrez
BACKGROUND: Continuous perineural infusion of local anesthetic provides better postoperative analgesia than intravenous administration of opioids or NSAIDs in upper limb surgery. The infraclavicular approach is a good option due to the muscular stability to catheter; the abduction of the arm apparently makes more superficial the brachial plexus and which elevates clavicle cephalad. AIM: The aim of this study was to identify whether the abduction of the arm for to decreases the skin-plexus distance, facilitating it catheter insertion in a perineural way for a better analgesia...
January 2015: Cirugia y Cirujanos
https://www.readbyqxmd.com/read/25935834/effect-of-body-mass-index-on-angle-of-needle-insertion-during-ultrasound-guided-lateral-sagittal-infraclavicular-brachial-plexus-block
#19
Hari K P Kalagara, Vishal Uppal, Sonya McKinlay, Alan J R Macfarlane, Keith Anderson
STUDY OBJECTIVES: The aim of our study was to establish the angle of needle insertion from the anterior chest wall during ultrasound-guided infraclavicular brachial plexus block and to examine for any correlation between body mass index (BMI) and insertion angle. DESIGN: This is a prospective observational study. SETTING: The setting is at an operating room, university-affiliated teaching hospital. PATIENTS: The patients are 23 American Society of Anesthesiologists physical status 1-3 patients scheduled to undergo elbow, forearm, or hand surgery under regional anesthesia with or without general anesthesia...
August 2015: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/25925034/evaluation-of-brachial-plexus-fascicles-involvement-on-infraclavicular-block-unfixed-cadaver-study
#20
Luiz Carlos Buarque de Gusmão, Jacqueline Silva Brito Lima, Jeane da Rosa Oiticica Ramalho, Amanda Lira dos Santos Leite, Alberson Maylson Ramos da Silva
BACKGROUND AND OBJECTIVES: This study shows how the diffusion of the anesthetic into the sheath occurs through the axillary infraclavicular space and hence proves the efficacy of the anesthetic block of the brachial plexus, and may thereby allow a consolidation of this pathway, with fewer complications, previously attached to the anesthesia. MATERIALS AND METHODS: 33 armpits of adult cadavers were analyzed and unfixed. We injected a solution of neoprene with latex dye in the infraclavicular space, based on the technique advocated by Gusmão et al...
May 2015: Brazilian Journal of Anesthesiology
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