Author : Agrawal, Amitpuri H Goswami, Rahul D Kore, Sachin R Swami, Vaishnavi V Kulkarni, Pushpa I
A prospective study of ultrasound guided infraclavicular brachial plexus block by coracoid approach for orthopedic surgery below mid humerus
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 6, Pages 902-907
Background: The use of ultrasound for precise nerve/plexus localization has recently revolutionized the field of regional anesthesia, with ultrasound probes with appropriate frequencies being successfully tried. Present study was aimed to study ultrasound guided infraclavicular brachial plexus block by coracoid approach for orthopedic surgery below mid humerus.
Material and Methods: Present study was prospective, observational study, conducted in patients of either sex, aged between 18-60 years, belonging to American Society of Anesthesiologists Grade I/II/II, posted for operations on upper Limb below mid humerus surgeries under ultrasound guided infraclavicular brachial plexus block.
Results: Present study was conducted in department of anesthesiology in 50 patients aged between 18-60 years. There were 10 females and 40 males out of 50. Majority were from age group 31-45 years (40%). As per ASA grading, there were 39 patients of ASA I, 8 patients of ASA II and in ASA 3, there were 3 patients. The mean time taken for complete sensory block was 18 ± 0.70 minutes. The mean time taken for complete motor block was 26.1 ± 0.71 minutes. The mean Duration of sensory blockade was 8.58 ± 0.70 hours. The mean Duration of Motor blockade was 6.80 ± 0.70 hours. Rescue analgesia was required after 6,8,10 & 12 hours in 4,10, 24 & 12 patients respectively. Success rate of USG guided infraclavicular block is 100%. Among 50 patients 38 patients had excellent quality of block, good in 7 and moderate quality in 5 patients During the study of Ultrasound guided infraclavicular brachial plexus block there were 2 vessels puncture, no nerve injury, no hematoma, no hemothorax happened.