Outcome of Brachial Plexus Blocks with Nerve Stimulator and Paresthesia Technique


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Volume :

3

Issue :

2

Abstract :

Background: Brachial plexus block is the technique where in local anesthetic is being injected along the plexus for upper limb surgery. It is widely used and has replaced general anesthesia in day care surgery. Methods: A retrospective study with 124 patients who were administered brachial plexus block were reviewed in order to see its outcomes and suitability. In this study, the area of surgery, type of pathology, duration of surgery, approach of brachial plexus block, nerve block localization technique, effects of blocks and its complications if any were studied. Results: The youngest age group was 16 years whereas oldest was 70 years. The most common area of surgery was on forearm with 73 patients whereas least common site was on shoulder with 9 patients. The supraclavicular block was the most used approach with 76 patients, Interscalene approach in 34 patients whereas axillary approach with 14 patients. Nerve stimulation was used in 82 patients whereas paraesthesia technique was used in 42 patients. Successful block was seen in 98 patients whereas failed block in 8 patients. Only one patient had pneumothorax, beside this there was no other complications noted within this study period. Conclusion: Brachial plexus block if administered with an expert hand found to be always effective with less or no complications and is one of the popular peripheral nerve blocks being practised by an anesthesiologist for upper limb surgery.

Keyword :

Brachial plexus block, general anesthesia, pneumothorax, supraclavicular block.
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