INFRACLAVICULAR BLOCK: THE RESULTS OF NEUROSTIMULATION VERSUS ULTREASOUND PLUS NEUROSTIMULATION

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MOMENZADEH SIROUS; SAYADI SHAHRAM; RAZAVI SEYED SADJAD; TAVAKKOLI DARESTANI REZA

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Paper Information

Journal: Journal of Anesthesiology and Pain Year:2012 | Volume:3 | Issue:1 Page(s): 29-38

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Title

INFRACLAVICULAR BLOCK: THE RESULTS OF NEUROSTIMULATION VERSUS ULTREASOUND PLUS NEUROSTIMULATION

Author(s)

MOMENZADEH SIROUS | SAYADI SHAHRAM | RAZAVI SEYED SADJAD | TAVAKKOLI DARESTANI REZA | Issue Writer Certificate

Keywords

INFRACLAVICULAR BLOCKQ2

ULTRASOUNDQ3

NERVE STIMULATIONQ2

Abstract

Aim and Background: Infraclavicular nerve block (ICNB) is one of the most efficacious peripheral nerve blocks for upper extremity procedures, associated with several potential complications. Recently, some authors have recommended ULTRASOUND-guided ICNB. The current study is aimed to compare the outcomes of ICNB utilizing combined ULTRASOUND guidance and neurostimulation with the outcomes of ICNB using neurostimulation alone.Methods and Materials: There were 60 patients, candidate for elective upper extremity surgery, who contributed in the current double-blinded randomized clinical trail. Patients were randomly allocated into 2 groups of either ULTRASOUND plus neurostimulation (UN) guided block or neurostimulation (N) group. The procedure time, time interval between injection and drug effect, the rate of successful blocks, sensory and motor block duration, and complications were compared between the two groups.Findings: The mean procedure time and the time interval between injection and drug effect were comparable. We found significantly longer sensory (66.8±11.7 V.s 60.9±10.2 min; p=0.04) and motor (57±11.4 V.s 50.8±10.4 min; p=0.032) block duration in UN group. ICNB failed in 10 patients in the N group and 2 patients in the UN group (p=0.021). There were one patient with subcutaneous hematoma in the UN group and 3 patients in the N group. Conclusions: ICNB utilizing ULTRASOUND guidance combined with neurostimulation is a safe and efficacious technique with a higher success rate compared to neurostimulation alone.

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APA: Copy

MOMENZADEH, SIROUS, SAYADI, SHAHRAM, RAZAVI, SEYED SADJAD, & TAVAKKOLI DARESTANI, REZA. (2012). INFRACLAVICULAR BLOCK: THE RESULTS OF NEUROSTIMULATION VERSUS ULTREASOUND PLUS NEUROSTIMULATION. JOURNAL OF ANESTHESIOLOGY AND PAIN (PERSIAN), 3(1), 29-38. SID. https://sid.ir/paper/216193/en

Vancouver: Copy

MOMENZADEH SIROUS, SAYADI SHAHRAM, RAZAVI SEYED SADJAD, TAVAKKOLI DARESTANI REZA. INFRACLAVICULAR BLOCK: THE RESULTS OF NEUROSTIMULATION VERSUS ULTREASOUND PLUS NEUROSTIMULATION. JOURNAL OF ANESTHESIOLOGY AND PAIN (PERSIAN)[Internet]. 2012;3(1):29-38. Available from: https://sid.ir/paper/216193/en

IEEE: Copy

SIROUS MOMENZADEH, SHAHRAM SAYADI, SEYED SADJAD RAZAVI, and REZA TAVAKKOLI DARESTANI, “INFRACLAVICULAR BLOCK: THE RESULTS OF NEUROSTIMULATION VERSUS ULTREASOUND PLUS NEUROSTIMULATION,” JOURNAL OF ANESTHESIOLOGY AND PAIN (PERSIAN), vol. 3, no. 1, pp. 29–38, 2012, [Online]. Available: https://sid.ir/paper/216193/en

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