A Comparison of Anesthetic Quality between Single and Septum-based Double Injection for Ultrasound-Guided Costoclavicular Block: A Randomized Controlled Trial
DC Field | Value | Language |
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dc.contributor.author | Lee, Mi Geum | - |
dc.contributor.author | Chung, Seung Hyun | - |
dc.contributor.author | Jung, Wol Seon | - |
dc.contributor.author | Lee, Dong Chul | - |
dc.contributor.author | Yoon, Kyung Seob | - |
dc.contributor.author | Koh, Jae Chul | - |
dc.contributor.author | Shin, Hyeon Ju | - |
dc.date.accessioned | 2023-01-19T00:40:30Z | - |
dc.date.available | 2023-01-19T00:40:30Z | - |
dc.date.created | 2023-01-18 | - |
dc.date.issued | 2022-11 | - |
dc.identifier.issn | 1533-3159 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/86654 | - |
dc.description.abstract | Background: In a costoclavicular (CC) approach of an ultrasound (US)-guided infraclavicular brachial plexus block (BPB), a septum between the lateral and the medial/posterior cords can result in an incomplete block. We hypothesized that double injections in each compartment between the septum would result in a higher success rate of BPB than a single injection in the center of the CC space. Objectives: This study was conducted to confirm the superiority of block quality achieved by septum-based double injections (experimental group; group E) over single injection in the center of the CC space (control group; group C). Study Design: A randomized, controlled trial Setting: Department of Anesthesiology and Pain Medicine, Korea University College of Medicine, Anam Hospital. Methods: Sixty-eight patients who underwent upper extremity surgery randomly received a single (SI group, n = 34) or a septum-based double injection (DI group, n = 34) using the CC approach. Ten milliliters of 2% lidocaine, 10 mL of 0.75% ropivacaine, and 5 mL of normal saline were used for BPB in each group (total 25 mL). Sensory-motor blockade of the ipsilateral median, radial, ulnar, and musculocutaneous nerves was assessed by a blinded observer at 5-minute intervals for 30 minutes immediately after local anesthesia administration. The assessed variables were the success rate, the rate of all 4 nerves blockade, and onset time. Results: Thirty minutes after the block, the success rate was significantly higher in the DI group than in the SI group (64.7% in the SI group vs 91.2% in the DI group, P = 0.009), and the rate of all 4 nerves blockade also significantly increased in the DI group compared to the SI group (44.1% in the SI group vs 91.2% in the DI group, P = 0). The onset time was significantly shortened in the DI group compared with the SI group (26.3 +/- 5.6 min in the SI group vs 21.3 +/- 6.2 min in the DI group, P = 0.010). Conclusions: Compared with the SI, the septum-based DI of CC approach increased the success rate and the rate of all 4 nerves blockade and shortened the onset time. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | AM SOC INTERVENTIONAL PAIN PHYSICIANS | - |
dc.relation.isPartOf | PAIN PHYSICIAN | - |
dc.title | A Comparison of Anesthetic Quality between Single and Septum-based Double Injection for Ultrasound-Guided Costoclavicular Block: A Randomized Controlled Trial | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 1 | - |
dc.identifier.wosid | 000886628500011 | - |
dc.identifier.bibliographicCitation | PAIN PHYSICIAN, v.25, no.8, pp.E1183 - E1189 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.scopusid | 2-s2.0-85141690371 | - |
dc.citation.endPage | E1189 | - |
dc.citation.startPage | E1183 | - |
dc.citation.title | PAIN PHYSICIAN | - |
dc.citation.volume | 25 | - |
dc.citation.number | 8 | - |
dc.contributor.affiliatedAuthor | Lee, Mi Geum | - |
dc.contributor.affiliatedAuthor | Jung, Wol Seon | - |
dc.contributor.affiliatedAuthor | Lee, Dong Chul | - |
dc.type.docType | Article | - |
dc.subject.keywordAuthor | Brachial plexus block | - |
dc.subject.keywordAuthor | costoclavicular approach | - |
dc.subject.keywordAuthor | infraclavicular block | - |
dc.subject.keywordAuthor | double injection | - |
dc.subject.keywordAuthor | ultrasound | - |
dc.subject.keywordPlus | BRACHIAL-PLEXUS BLOCK | - |
dc.relation.journalResearchArea | Anesthesiology | - |
dc.relation.journalResearchArea | Neurosciences & Neurology | - |
dc.relation.journalWebOfScienceCategory | Anesthesiology | - |
dc.relation.journalWebOfScienceCategory | Clinical Neurology | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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