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Abstract
Objective: To compare the onset and duration ofsensory and motor blockade,success and complications rate of these two techniques.
Subjects and methods: One hundred and twenty patients undergoing upper limb surgeries at Hue Central Hospital from May 2016 to June 2017 were divided into two groups. Group I underwen tultrasoundguided supraclavicular brachial plexus block, group II with nerve stimulator. Each group received 25ml levobupivacaine 0.5% and 1/200000 adrenalin.
Results: The procedure time (9.82 ± 4.55 vs 14.73 ± 4.73 min), the onset of sensory (6.15 ± 1.60 vs 9.92 ± 2.88 min) and motor block (7.95 ± 1.05 vs 12.63 ± 2.15 min) in group I were significant shorter than in Group II (p < 0,05). The duration of sensory and motor block, (481.38 ± 116.66 vs 319.22 ± 143.14 min and 412.97 ± 107.32 vs 205.88 ± 48.96 min, respectively ) were significant longer in group I than in Group II (p < 0.05). The success rate (98.3% vs 90%) and complication incidence (1.7% vs 8.4%) were comparable between two groups.
Conclusion: Ultrasound guidance for supraclavicular brachial plexus blockade provided faster onset, longer duration of sensory and motor block, higher success rate with fewer complications in comparison withnerve stimulator technique.
References
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| Published | 18-01-2025 | |
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| Issue | No. 49 (2018) | |
| Section | Original article | |
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| Keywords | Gây tê đám rối thần kinh cánh tay, hướng dẫn của siêu âm brachial plexus block, ultrasound-guided |
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