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Evaluation of the addition tourniquet and ultrasound application to axillary block success, reliability and patient satisfaction    
Yazarlar (2)
Doç. Dr. Ayşe YILMAZ Doç. Dr. Ayşe YILMAZ
Türkiye
Fatma Feyhan Ökten
Ankara Üniversitesi, Türkiye
Devamını Göster
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