Clinical application of ultrasound guided interscaiene brachial plexus block
SHAN Li-gang, LIU Yong-qian
Published 2012-08-10
Cite as Chin J Pract Med, 2012,39(15): 31-33. DOI: 10.3760/cma.j.issn.1674-4756.2012.15.014
Abstract
Objective To investigate the clinical application of ultrasound guided interscalene brachial plexus block.Methods One hundred and twenty-four patients underwent surgery of forearm,wrist,hand or fingers were randomly divided into four groups,with 31 cases in each group:group facial pop (FP),group paresthesia (PAR),group peripheral nerve stimulation (PNS),group ultrasound-guided(UG).The extent of sensory and motor blockade of each innervated region was assessed by scale scores,the anesthetic effects of surgical field and complications were observed and recorded.The effects of PCA and drug doses were compared.Results There were significant differences in sensory,drug doses,complications,painter control anesthsia between group UG with group FP,PAR,PNS (P < 0.05).Conclusions Ultrasound-guided interscalene brachial plexus block is safe and can improve the success rate,reduce complications,relieve postoperative pain and decrease the need of dezocine after surgery.
Key words:
Ultrasound-ghuided; Interscalene brachial plexus block; Postoperative analgesia
Contributor Information
SHAN Li-gang
Department of Anesthesiology, Gimei General Hospital of Second Hospital of Xiamen, Xiamen 361021, China
LIU Yong-qian
Department of Anesthesiology, Gimei General Hospital of Second Hospital of Xiamen, Xiamen 361021, China