Randomized prospective study of three different techniques for ultrasound-guided axillary brachial plexus block
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Anestesiologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942018000100062 |
Resumo: | Abstract Introduction Randomized prospective study comparing two perivascular techniques with the perineural technique for ultrasound-guided axillary brachial plexus block (US-ABPB). The primary objective was to verify if these perivascular techniques are noninferior to the perineural technique. Method 240 patients were randomized to receive the techniques: below the artery (BA), around the artery (AA) or perineural (PN). The anesthetic volume used was 40 mL of 0.375% bupivacaine. All patients received a musculocutaneous nerve blockade with 10 mL. In BA technique, 30 mL were injected below the axillary artery. In AA technique, 7.5 mL were injected at 4 points around the artery. In PN technique, the median, ulnar, and radial nerves were anesthetized with 10 mL per nerve. Results Confidence interval analysis showed that the perivascular techniques studied were not inferior to the perineural technique. The time to perform the blockade was shorter for the BA technique (300.4 ± 78.4 s, 396.5 ± 117.1 s, 487.6 ± 172.6 s, respectively). The PN technique showed a lower latency time (PN - 655.3 ± 348.9 s; BA - 1044 ± 389.5 s; AA - 932.9 ± 314.5 s), and less total time for the procedure (PN - 1132 ± 395.8 s; BA - 1346.2 ± 413.4 s; AA - 1329.5 ± 344.4 s). BA technique had a higher incidence of vascular puncture (BA - 22.5%; AA - 16.3%; PN - 5%). Conclusion The perivascular techniques are viable alternatives to perineural technique for US-ABPB. There is a higher incidence of vascular puncture associated with the BA technique. |
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Revista Brasileira de Anestesiologia (Online) |
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Randomized prospective study of three different techniques for ultrasound-guided axillary brachial plexus blockAxillary brachial plexus blockUltrasoundPerineural techniquePerivascular techniqueVascular punctureAbstract Introduction Randomized prospective study comparing two perivascular techniques with the perineural technique for ultrasound-guided axillary brachial plexus block (US-ABPB). The primary objective was to verify if these perivascular techniques are noninferior to the perineural technique. Method 240 patients were randomized to receive the techniques: below the artery (BA), around the artery (AA) or perineural (PN). The anesthetic volume used was 40 mL of 0.375% bupivacaine. All patients received a musculocutaneous nerve blockade with 10 mL. In BA technique, 30 mL were injected below the axillary artery. In AA technique, 7.5 mL were injected at 4 points around the artery. In PN technique, the median, ulnar, and radial nerves were anesthetized with 10 mL per nerve. Results Confidence interval analysis showed that the perivascular techniques studied were not inferior to the perineural technique. The time to perform the blockade was shorter for the BA technique (300.4 ± 78.4 s, 396.5 ± 117.1 s, 487.6 ± 172.6 s, respectively). The PN technique showed a lower latency time (PN - 655.3 ± 348.9 s; BA - 1044 ± 389.5 s; AA - 932.9 ± 314.5 s), and less total time for the procedure (PN - 1132 ± 395.8 s; BA - 1346.2 ± 413.4 s; AA - 1329.5 ± 344.4 s). BA technique had a higher incidence of vascular puncture (BA - 22.5%; AA - 16.3%; PN - 5%). Conclusion The perivascular techniques are viable alternatives to perineural technique for US-ABPB. There is a higher incidence of vascular puncture associated with the BA technique.Sociedade Brasileira de Anestesiologia2018-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942018000100062Revista Brasileira de Anestesiologia v.68 n.1 2018reponame:Revista Brasileira de Anestesiologia (Online)instname:Sociedade Brasileira de Anestesiologia (SBA)instacron:SBA10.1016/j.bjane.2017.07.001info:eu-repo/semantics/openAccessFerraro,Leonardo Henirque CunhaTakeda,AlexandreSousa,Paulo César Castello Branco deMehlmann,Fernanda Moreira GomesMitsunaga Junior,Jorge KiyoshiFalcão,Luiz Fernando dos Reiseng2018-02-02T00:00:00Zoai:scielo:S0034-70942018000100062Revistahttps://www.sbahq.org/revista/https://old.scielo.br/oai/scielo-oai.php||sba2000@openlink.com.br1806-907X0034-7094opendoar:2018-02-02T00:00Revista Brasileira de Anestesiologia (Online) - Sociedade Brasileira de Anestesiologia (SBA)false |
dc.title.none.fl_str_mv |
Randomized prospective study of three different techniques for ultrasound-guided axillary brachial plexus block |
title |
Randomized prospective study of three different techniques for ultrasound-guided axillary brachial plexus block |
spellingShingle |
Randomized prospective study of three different techniques for ultrasound-guided axillary brachial plexus block Ferraro,Leonardo Henirque Cunha Axillary brachial plexus block Ultrasound Perineural technique Perivascular technique Vascular puncture |
title_short |
Randomized prospective study of three different techniques for ultrasound-guided axillary brachial plexus block |
title_full |
Randomized prospective study of three different techniques for ultrasound-guided axillary brachial plexus block |
title_fullStr |
Randomized prospective study of three different techniques for ultrasound-guided axillary brachial plexus block |
title_full_unstemmed |
Randomized prospective study of three different techniques for ultrasound-guided axillary brachial plexus block |
title_sort |
Randomized prospective study of three different techniques for ultrasound-guided axillary brachial plexus block |
author |
Ferraro,Leonardo Henirque Cunha |
author_facet |
Ferraro,Leonardo Henirque Cunha Takeda,Alexandre Sousa,Paulo César Castello Branco de Mehlmann,Fernanda Moreira Gomes Mitsunaga Junior,Jorge Kiyoshi Falcão,Luiz Fernando dos Reis |
author_role |
author |
author2 |
Takeda,Alexandre Sousa,Paulo César Castello Branco de Mehlmann,Fernanda Moreira Gomes Mitsunaga Junior,Jorge Kiyoshi Falcão,Luiz Fernando dos Reis |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Ferraro,Leonardo Henirque Cunha Takeda,Alexandre Sousa,Paulo César Castello Branco de Mehlmann,Fernanda Moreira Gomes Mitsunaga Junior,Jorge Kiyoshi Falcão,Luiz Fernando dos Reis |
dc.subject.por.fl_str_mv |
Axillary brachial plexus block Ultrasound Perineural technique Perivascular technique Vascular puncture |
topic |
Axillary brachial plexus block Ultrasound Perineural technique Perivascular technique Vascular puncture |
description |
Abstract Introduction Randomized prospective study comparing two perivascular techniques with the perineural technique for ultrasound-guided axillary brachial plexus block (US-ABPB). The primary objective was to verify if these perivascular techniques are noninferior to the perineural technique. Method 240 patients were randomized to receive the techniques: below the artery (BA), around the artery (AA) or perineural (PN). The anesthetic volume used was 40 mL of 0.375% bupivacaine. All patients received a musculocutaneous nerve blockade with 10 mL. In BA technique, 30 mL were injected below the axillary artery. In AA technique, 7.5 mL were injected at 4 points around the artery. In PN technique, the median, ulnar, and radial nerves were anesthetized with 10 mL per nerve. Results Confidence interval analysis showed that the perivascular techniques studied were not inferior to the perineural technique. The time to perform the blockade was shorter for the BA technique (300.4 ± 78.4 s, 396.5 ± 117.1 s, 487.6 ± 172.6 s, respectively). The PN technique showed a lower latency time (PN - 655.3 ± 348.9 s; BA - 1044 ± 389.5 s; AA - 932.9 ± 314.5 s), and less total time for the procedure (PN - 1132 ± 395.8 s; BA - 1346.2 ± 413.4 s; AA - 1329.5 ± 344.4 s). BA technique had a higher incidence of vascular puncture (BA - 22.5%; AA - 16.3%; PN - 5%). Conclusion The perivascular techniques are viable alternatives to perineural technique for US-ABPB. There is a higher incidence of vascular puncture associated with the BA technique. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-02-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942018000100062 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942018000100062 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.bjane.2017.07.001 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Anestesiologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Anestesiologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Anestesiologia v.68 n.1 2018 reponame:Revista Brasileira de Anestesiologia (Online) instname:Sociedade Brasileira de Anestesiologia (SBA) instacron:SBA |
instname_str |
Sociedade Brasileira de Anestesiologia (SBA) |
instacron_str |
SBA |
institution |
SBA |
reponame_str |
Revista Brasileira de Anestesiologia (Online) |
collection |
Revista Brasileira de Anestesiologia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Anestesiologia (Online) - Sociedade Brasileira de Anestesiologia (SBA) |
repository.mail.fl_str_mv |
||sba2000@openlink.com.br |
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1752126629566480384 |