•  
  •  
 

Document Type

Original Article

Abstract

Comparison between Ultrasound Guided Axillary Brachial plexus Block versus Intravenous Regional Block in Forearm Surgeries

ABSTRACT

Background: Regional anaesthesia is particularly effective because it blocks the transduction, transmission, and modification of afferent nociceptive stimuli, inhibits the activation of neurohormones, and prevents the central nervous system from winding up and becoming sensitised (CNS). Aim: The aim of this study is to compare between brachial plexus block “axillary approach” and regional intravenous block in the forearm surgeries regarding the quality of surgical analgesia and relief of postoperative pain. Patients and Methods: The local ethical committee accepted this prospective, randomised, single-blinded clinical trial, which was carried out in Cairo's Al-Azhar University Hospitals for Boys. Results: Our data showed a statistically significant difference in mean postoperative opioid intake between the two groups (mg).In terms of negative consequences, our findings showed a statistically significant difference between the two groups. Moreover, there were no patients with horner’s syndrome, pneumothorax, vascular puncture, visual or auditory disturbances, CNS tremors or residual motor defects. Conclusion: From findings of our results, we can conclude that Ultrasound Guided Brachial Plexus Block (Axillary approach) group (BPBAA) is more effective than Intravenous Regional Block (IRVB), less need of opioid, less complications and more patient satisfaction.

Keywords

Ultrasound Guided Axillary Brachial plexus Block; Regional Block; Forearm; Surgeries

Subject Area

Anesthesiology

Download

Share

COinS