Yazarlar (2) |
![]() Türkiye |
![]() Ankara Üniversitesi, Türkiye |
Özet |
Aim: The purpose of this study was to evaluate axillary brachial plexus blockade with ultrasonography and peripheral nerve stimulator guidance and the effect of tourniquet addition to multi and single injection.Material and Methods: We randomly allocated 60 patients undergoing hand surgery to the following groups: Group 1 (single tourniquet multi-injection; a rubber tourniquet was applied 8 cm below the nerve stimulator needle entrance area before blockade), Group 2 (double tourniquet single injection; the distal tourniquet was applied in the same way, and a second tourniquet was applied 2 cm above the injection site just after the removal of the nerve stimulator needle), and Group 3 (double tourniquet multi-injection; both tourniquets were applied and axillary block was performed with multi-injection). The same local anesthetic agent was used in all patients. The success rate, the onset of blockade, and patient satisfaction were evaluated. Results: The success rate was 100% in all groups. The blockade duration was shorter in Group 2. Patient satisfaction was the lowest in Group 3 and the highest in Group 2.Discussion: Ultrasonography and peripheral nerve stimulator-guided axillary blockade accompanied by tourniquet application may result in better success rate and patient satisfaction and may be safer. Although the axillary block technique has been known and applied for a long time, we believe that it is a regional anesthesia technique, which is still open for innovations and further studies. |
Anahtar Kelimeler |
Ultrasound | Tourniquet | Axillary block |
Makale Türü | Özgün Makale |
Makale Alt Türü | ESCI dergilerinde yayınlanan tam makale |
Dergi Adı | ANNALS OF CLINICAL AND ANALYTICAL MEDICINE |
Dergi ISSN | 2667-663X Wos Dergi |
Dergi Tarandığı Indeksler | Emerging Sources Citation Index (ESCI) |
Makale Dili | Türkçe |
Basım Tarihi | 01-2021 |
Cilt No | 12 |
Sayı | 1 |
Sayfalar | 40 / 44 |
Doi Numarası | 10.4328/ACAM.20395 |
Makale Linki | http://dx.doi.org/10.4328/acam.20395 |