A Randomized Comparison Between Two Injections from Two Planes versus Two Injections with a Uniplanar Approach for Ultrasound-Guided Supraclavicular Block
DC Field | Value | Language |
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dc.contributor.author | Lee, Ji Yeon | - |
dc.contributor.author | Park, Hee Yeon | - |
dc.contributor.author | Choi, Yun Suk | - |
dc.contributor.author | Chang, Young Jin | - |
dc.contributor.author | Shin, Hyeon Ju | - |
dc.contributor.author | Lee, Mi Geum | - |
dc.date.available | 2021-01-15T07:40:05Z | - |
dc.date.created | 2021-01-15 | - |
dc.date.issued | 2021-01 | - |
dc.identifier.issn | 1533-3159 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/79742 | - |
dc.description.abstract | BACKGROUND: The brachial plexus courses along the lateral to posterior aspect of the subclavian artery located within the supraclavicular region as a trunk or division. Therefore we hypothesized that 2 injections, one along the lateral and one along the posterior aspect of the brachial plexus, could be performed by changing the angle of the ultrasound probe, thereby achieving a 3-dimensional (3-D) even distribution of local anesthetics. Previously, we confirmed the efficacy of this type of approach with that of a single cluster approach. These findings represent a subsequent study. OBJECTIVES: This study was conducted to confirm the superiority of block quality achieved by 2 injections from 2 planes (control group; group C) over 2 injections in one plane (experimental group; group E). STUDY DESIGN: A randomized, controlled trial. SETTING: Department of Anesthesiology and Pain Medicine, Gachon University Gil Medical Center. METHODS: In group C (n = 35), the brachial plexus sheath was penetrated in 2 planes by anteriorly altering the angle of the ultrasound probe without changing its position. In group E (n = 35), the upper and lower portions of the brachial plexus sheath were penetrated in one plane. A total of 15 mL of lidocaine 1.5% containing epinephrine (1:200,000) was injected at each point in both groups. The ultrasound-guided supraclavicular brachial plexus block was evaluated every 5 minutes for 30 minutes. The main outcome variables were rates of blockage of all 4 nerves and ulnar nerve sparing. RESULTS: The rate of blockage of all 4 nerves (median, ulnar, radial, and musculocutaneous nerves) was not significantly different between the 2 groups (94% in group C vs. 86% in group E, respectively; P = 0.232). The number of spared ulnar nerves was similar (1 vs. 5, respectively; P = 0.088). Group procedure times, onset times, and Visual Analog Scale scores for the blocks were similar. LIMITATIONS: For the 2 plane, 2 injection approach, only 2-D imaging was performed rather than 3-D imaging. CONCLUSIONS: Two injections performed in one plane offered similar benefits to 2 injections performed in 2 planes. The 2 techniques provided comparable block qualities and could be viewed as equally effective alternatives. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | American Society of Interventional Pain Physicians | - |
dc.relation.isPartOf | Pain Physician | - |
dc.title | A Randomized Comparison Between Two Injections from Two Planes versus Two Injections with a Uniplanar Approach for Ultrasound-Guided Supraclavicular Block | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 1 | - |
dc.identifier.wosid | 000604968500002 | - |
dc.identifier.bibliographicCitation | Pain Physician, v.24, no.1, pp.e15 - e21 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.scopusid | 2-s2.0-85099132653 | - |
dc.citation.endPage | e21 | - |
dc.citation.startPage | e15 | - |
dc.citation.title | Pain Physician | - |
dc.citation.volume | 24 | - |
dc.citation.number | 1 | - |
dc.contributor.affiliatedAuthor | Lee, Ji Yeon | - |
dc.contributor.affiliatedAuthor | Park, Hee Yeon | - |
dc.contributor.affiliatedAuthor | Chang, Young Jin | - |
dc.contributor.affiliatedAuthor | Lee, Mi Geum | - |
dc.identifier.url | https://www.painphysicianjournal.com/current/abstracts?article=NzE4OA%3D%3D | - |
dc.subject.keywordAuthor | Brachial plexus block | - |
dc.subject.keywordAuthor | multiple injection | - |
dc.subject.keywordAuthor | supraclavicular block | - |
dc.subject.keywordAuthor | ultrasound | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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