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Journals / Turkish Journal of Medical Sciences / 2011 / Cilt: 41 - Sayı: 4

The extent of blockade following axillary, supraclavicular, and interscalene approaches of brachial plexus block

Aksiller, supraklavikular ve interskalen yaklaşımlar ile uygulanan brakiyal pleksus bloğunun yayılımı

Ahmet MAHLİ
Demet COŞKUN
Pages
623–631
Publication Date
2022-11-05
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: The onset, quality, and extent of the sensory and motor block in brachial plexus blocks changed depending on the axillary, supraclavicular, or interscalene approaches.

📌 3 Key Takeaways

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Objective & Hypothesis:To investigate the onset, quality, and extent of the sensory and motor blocks in brachial plexus blocks performed through axillary, supraclavicular, or interscalene approaches.
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Key Findings & Data:Materials and methods: This study involved 75 patients scheduled for orthopedic surgery of the upper extremity.
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Conclusion & Impact:Conclusion: The onset, quality, and extent of the sensory and motor block in brachial plexus blocks changed depending on the axillary, supraclavicular, or interscalene approaches.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Brakiyal pleksus bloğu · aksiller · supraklaviküler

Abstract

To investigate the onset, quality, and extent of the sensory and motor blocks in brachial plexus blocks performed through axillary, supraclavicular, or interscalene approaches. Materials and methods: This study involved 75 patients scheduled for orthopedic surgery of the upper extremity. Brachial plexus block was performed in patients through axillary (group AX, n = 25), supraclavicular (group SC, n = 25), or interscalene (group IS, n = 25) approaches. Results: Excluding intercostobrachial nerve, the adequate sensory and motor block rates in group AX on the nerves of brachial plexus were found to be 100% and 92%-100%, respectively. Sensory and motor block rates were both found to be 96%-100% in group SC and also 80%-100%, and 88% in group IS, respectively. In terms of sensory and motor block evaluation of all the nerves, there were statistically significant differences among the 3 groups at all measurement times (P < 0.05). Conclusion: The onset, quality, and extent of the sensory and motor block in brachial plexus blocks changed depending on the axillary, supraclavicular, or interscalene approaches.

Özet

Amaç: Bu çalışmanın amacı, aksiller, supraklaviküler veya interskalen yaklaşım yoluyla gerçekleştirilen brakiyal pleksusbloklarında duyusal ve motor bloğun başlangıcı, kalitesi ve yayılımını araştırmaktır.Yöntem ve gereç: Çalışma, ortopedik üst ekstremite cerrahisi planlanmış 75 hastayı içermektedir. Hastalarda aksiler(grup AX, n = 25), supraklaviküler (grup SC, n = 25) veya interskalen yaklaşım (grup İS, n = 25) yoluyla brakiyal pleksusbloğu gerçekleştirilmiştir.Bulgular: Grup AX’de interkostobrakiyal sinir hariç olmak üzere brakiyal pleksusa ait sinirlere ilişkin yeterli duyusalblok oranı % 100, yeterli motor blok oranı ise % 92-100 olarak bulunmuştur. Grup SC’de duyusal ve motor blokoranlarının her ikisi de % 96-100, grup İS’de ise bu oranlar sırasıyla % 80-% 100 ve % 88 olarak bulunmuştur. Duyusal vemotor blok yönünden, değerlendirilen tüm sinirlerde, ölçüm yapılan tüm zaman dilimlerinde, üç grup arasında anlamlıfark vardır (P < 0,05).Sonuç: Brakiyal pleksus bloğunda duyusal ve motor bloğun başlangıcı, kalitesi ve yayılımı uygulanan aksiller,supraklavikular veya interskalen yaklaşıma bağlı olarak değişmektedir.

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Cite This Article

MAHLİ, A., COŞKUN, D. (2022). The extent of blockade following axillary, supraclavicular, and interscalene approaches of brachial plexus block. Turkish Journal of Medical Sciences, Cilt: 41 - Sayı: 4, 623–631. https://ajindex.com/articles/611386

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