Journals / Türk Anestezi ve Reanimasyon Dergisi / 2009 / Cilt: 37 - Sayı: 3

A retrospective evaluation of a new infraclavicular brachial plexus block technique in which major tubercle of humerus was used as a reference point

Humerusun büyük tüberkülü referanslı yeni bir infraklaviküler brakiyal pleksus bloğu yönteminin geriye dönük değerlendirme sonuçları

Pages
145–151
Publication Date
2022-11-05
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

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

Conclusion: Infraclavicular brachial plexus block technique in which the tuberculum majus is taken as a reference point may be an alternative brachial plexus blockade method for the patients undergoing upper extremity surgery.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: To retrospectively evaluate the results of a new infraclavicular brachial plexus blockade method with a reference point of major tubercle which we have used and improved for five years.
📊
Key Findings & Data:Material and Methods: The anesthesia reports of 121 patients who underwent arm, forearm and hand surgery were evaluated retrospectively.
💡
Conclusion & Impact:Conclusion: Infraclavicular brachial plexus block technique in which the tuberculum majus is taken as a reference point may be an alternative brachial plexus blockade method for the patients undergoing upper extremity surgery.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Aim: To retrospectively evaluate the results of a new infraclavicular brachial plexus blockade method with a reference point of major tubercle which we have used and improved for five years. Material and Methods: The anesthesia reports of 121 patients who underwent arm, forearm and hand surgery were evaluated retrospectively. The demographic findings, adequacy of surgical anesthesia, additional sedative and analgesic requirements and recorded complications were evaluated. Results: We determined that the block we applied was satisfactory in providing surgical anesthesia in 85 % of our patients. No pneumothorax, haemothorax, Horner syndrome or vascular puncture were encountered. Convulsions were developed in two patients without squeal. Conclusion: Infraclavicular brachial plexus block technique in which the tuberculum majus is taken as a reference point may be an alternative brachial plexus blockade method for the patients undergoing upper extremity surgery.

Özet

Amaç: Kliniğimizde beş yıldır uygulanan, humerusun büyük tüberkülü referans alınarak geliştirdiğimiz yeni bir infraklaviküler brakiyal pleksus bloğu yönteminin sonuçları geriye dönük olarak değerlendirildi. Gereç ve Yöntem: Yöntemi uygulamış olduğumuz kol, önkol ve el cerrahisi geçiren 121 hastanın anestezi izlem formları geriye dönük olarak incelendi. Hastaların bireysel özellikleri, cerrahi anestezi yeterliliği, ek sedasyon ve analjezi gereksinimi ile kaydedilmiş komplikasyonlar değerlendirildi. Bulgular: Hastaların % 85’inde bloğun cerrahi anestezi için yeterli olduğu, % 15 hastada ise cerrahi anestezi sağlanamadığı saptandı. Hastaların hiçbirinde pnömotoraks, hemotoraks, Horner Sendromu, vasküler ponksiyona rastlanmadı. İki hastada sekelsiz konvülsiyon geliştiği görüldü.Sonuç: Humerusun büyük tüberkülü referans alınarak yapılan infraklaviküler brakiyal pleksus bloğu, üst ekstremite cerrahisi uygulanacak hastalarda diğer brakiyal pleksus bloğu yöntemlerine alternatif olabilir.

🔖

Cite This Article

BAŞARANOĞLU, G., SÜREN, M., ÇÖMLEKÇİ, M., ERKALP, K., ALDEMİR, T. (2022). A retrospective evaluation of a new infraclavicular brachial plexus block technique in which major tubercle of humerus was used as a reference point. Türk Anestezi ve Reanimasyon Dergisi, Cilt: 37 - Sayı: 3, 145–151. https://ajindex.com/articles/654682

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (16)

  1. Erdine S. Rejyonal Anestezi. Nobel Tıp Kitabevleri 4: 2005,23-27,35,58-9
  2. Morgan GE, Maged SM. Klinik Anesteziyoloji 3. Baskı Güneş Kitabevleri Ltd. Şti., McGraw-Hill, 2004, 286-8
  3. Klaastad O, Lilleas FG, Rotnes JS, Breivik H, Fosse E. Magnetic resonance imaging demonstrates lack of precision in needle placement by the infraclavicular brachial plexus block described by Raj et al. Anesth. Analg 1999;88:593-8
  4. Çomlekci M, Başaranoğlu G, Süren M, Bay B, Aldemir T. An approach to infraclavicular brachial plexus block: the highest point of the shoulder as a reference. Anesth. Analg 2006;103(6):1634-5
  5. Winnie AP. Infraclavicular brachial plexus block-a new approach. Guest discussion. Anesth Analg 1973;52:903-4
  6. Borgeat A, Ekatrodamis G, Dumont C. An evaluation of the infraclavicular block via a modified approach of the Raj technique. Anesth Analg 2001;93:436-41
  7. Winnie AP, Radonjic R, Akkinemi SR. Factors influencing distribution of local anesthetic injected into the brachial plexus sheath. Anesth Analg 1979;58:225-34
  8. Winnie AP. Historical considerations. In: Winnie AP, Hakansson L, eds. Plexus anesthesia. Philadelphia: WB Saunders, 1993: 67-116 9. Raj PP, Montgomery SJ, Nettles D, Jenkins MT. Infraclavicular brachial block: a new approach. Anesth Analg 1973;52:897-904
  9. Sims JK. A modification of landmarks for infraclavicular approach to brachial plexus block. Anesth Analg 1977;56:554-5
  10. Whiffler K. Coracoid block: a safe and easy technique. Br J Anaesth 1981;53:845-8
  11. Kilka HG, Geiger P, Mehrkens HH. Die Vertikale infraclaviculare Blockade des Plexus Brachialis. Anesthesist 1995;44:339-44
  12. Kapral S, Jandrasits O, Schabernig C, et al. Lateral infraclavicular plexus block versus axillary block for hand and forearm surgery. Acta Anesthesiol. Scand. 1999;43:1047-52
  13. Klaastad Q, Smith H J, Smedby O, et al. A novel infraclavicular brachial plexus block: the lateral and sagittal technique, developed by magnetic resonance imaging studies. Anesth Analg 2004;98:252-6
  14. Koscielniak-Nielsen ZJ, Rasmussen H, Hesselberg L, Gürkan Y, Belhagen B. Clinical evaluation of the lateral sagittal infraclavicular block developed by MRI studies. Reg Anesth Pain Med 2005;30(4):329-34
  15. Hoşten T, Gürkan Y, Kuş A, Solak M, Toker K. Lateral sagittal inraklavikular blok: 3 Hastada olgu sunumu. Ağrı 2006;18(2):23-6
  16. Rodriguez J, Barcena M, Rodriguez V, Aneiros F, Alvarez J. Infraclavicular brachial plexus block effects on respiratory fun