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Can we use lower volume of local anesthetic for infraclavicular brachial plexus nerve block under ultrasound guidance in children?

Abstract：

OBJECTIVES:To determine if the infraclavicular brachial plexus block can be applied with lower volume of local anesthetic. DESIGN:Randomised, double-blinded clinical trial. PATIENTS:60 patients aged 5-15years with ASA I-II who underwent emergent or elective arm, forearm or hand operations were included in the study. INTERVENTIONS:Patients were divided into two groups randomly; standard volume local anesthetic administered group (Group S, n=30) and low volume anesthetic administered group (Group L, n=30). MEASUREMENT:Postoperative pain scores, sensory and motor block durations were noted. MAIN RESULTS:Pain scores (Wong-Baker Face Scale) were evaluated and the results were detected to be similar at all times (30min, 1, 2, 4, 8, 12, 24h). Durations of motor block were 168(±16) minutes and 268(±15) minutes in Group L and Group S respectively and the difference was statistically significant (p<0.001). Durations of sensory block were 385(±26) and 402(±39) in Group L and Group S respectively and no statistically significant difference was detected (p=0.064). CONCLUSION:Similar block success, postoperative sensory block durations and pain scores could be obtained during infraclavicular brachial plexus in pediatric patients with lower local anesthetic volumes.

journal_name

J Clin Anesth

journal_title

Journal of clinical anesthesia

authors

Ince I,Aksoy M,Dostbil A,Tuncer K

doi

10.1016/j.jclinane.2016.12.017

subject

Has Abstract

pub_date

2017-09-01 00:00:00

pages

132-136

eissn

0952-8180

issn

1873-4529

pii

S0952-8180(16)31128-X

journal_volume

41

pub_type

杂志文章,随机对照试验

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