Comparison of Conventional and Lateral Approach to Supraclavicular Brachial Block

Shaik, Zebaish Zamir and *, Suresh Y. V and Kamath, Shaila S (2019) Comparison of Conventional and Lateral Approach to Supraclavicular Brachial Block. Indian Journal of Public Health Research and Development, 10 (8). pp. 754-759. ISSN 09760245

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Background The conventional approach is many a time associated with complications such as vascular puncture, inadequate analgesia etc. The lateral approach is hypothesized to be equipotent and much safer than the conventional approach. We aim to evaluate this hypothesis. Method After Institutional ethics committee clearance, the patients, after consenting, through computer generated block randomization, were allocated to either of the two groups-Group L or C. After the block, the duration for onset of sensory and motor blockade, the total duration of sensory& motor blockade and any complications were noted. A total of 60 patients were analyzed, 30 patients for the lateral approach and 30 patients for conventional approach. ASA 1 and 2 patients who were undergoing the surgeries of the upper limb were included in the study. Results The incidence of complications was much higher in conventional approach as compared to the lateral approach with a p value 0f 0.041. In conventional approach, in 2 (6.7%) of the patients the block failed to act completely, inadequate block was seen in 7 (23.3%) of the patients of which vascular puncture was seen in 4 (13.3%) patients. In lateral approach, inadequate blockade was seen in 1 (3.3%) patient but there was no vascular puncture. Conclusion Lateral approach is a much safer and reliable technique of supraclavicular brachial block.

Item Type: Article
Uncontrolled Keywords: Anesthesia conduction, Nerve Block, Brachial Plexus, Bupivacaine, Analgesia.
Subjects: Medicine > KMC Mangalore > Anaesthesiology
Depositing User: KMCMLR User
Date Deposited: 08 Jan 2020 10:48
Last Modified: 08 Jan 2020 10:48

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