A randomised comparison between ultrasound and nerve stimulation for infraclavicular catheter placement.

Abstract:

:We conducted this study to determine if placement of infraclavicular catheters guided by ultrasound is quicker than placement guided by nerve stimulation. Infraclavicular brachial plexus catheters were inserted in 210 randomly allocated patients who were scheduled for elective hand or elbow surgery. Needle and catheter placement was guided by ultrasound (n = 105) or by nerve stimulation (n = 105). The primary outcome was time to sensory block success. Success rate was similar between the two techniques (83.2% vs 81.4%, p = 0.738). However, placement of ultrasound-guided catheters took less time (7.2 [2.5] vs 9.6 [3.6] min, p < 0 .001). Pain and satisfaction scores, and incidence of nerve deficit, were also similar with both techniques.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Dhir S,Armstrong K,Armstrong P,Bouzari A,Mall J,Yu J,Ganapathy S,King G

doi

10.1111/anae.13302

subject

Has Abstract

pub_date

2016-02-01 00:00:00

pages

198-204

issue

2

eissn

0003-2409

issn

1365-2044

journal_volume

71

pub_type

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