Comparison Neurostimulator Use Versus Ultrasound-guided Neurostimulator Use In Axillar Brachial Plexus Block

Authors : Esengül GÖK, Ülkü Aygen TÜRKMEN, Döndü GENÇ MORALAR, Zekeriya ERVATAN, Erdinç DENİZLİ, Mensure ÇAKIRGÖZ

Pages : 55-69

View : 27 | Download : 9

Publication Date : 2021-02-01

Article Type : Research Paper

Abstract :Objectives: Different methods may be used in application of axillar block. The aim of this study is to investigate the effect of ultrasonography on block success, complications and patient satisfaction in application of Axillary Brachial Plexus Block. Methods: After obtaining approval from the ethics committee and consent of the patients, 50 ASA I III patients over age of 20 waiting for forearm and hand surgery have been included in this study. Pulse, non invasive blood pressure and peripheral oxygen saturation of the patients were monitored after their demographic data were recorded. Brachial plexus block was applied with only neurostimulator in Group I (n=25) and with ultrasonography guided neurostimulator in Group II (n=25). Number of skin punctures, presence of vascular punctures and processing time was recorded. Sensorial block formation was evaluated by pin prick testing, motor block was evaluated by Holmenn scale, and sensation of pain was evaluated with numerical pain rating scale. Operation began after duration of block formations were recorded. Need for general anesthesia and patient satisfaction was also recorded. Results: Demographic data, time of onset of motor and sensorial block, operation and process time, and pain score was found to be similar in Group I and II. Number of skin punctures and vascular punctures were significantly less in Group II. Conclusion: As a result, block success and patient satisfaction was found similar in ultrasound-guided neurostimulator and only neurostimular used axillary brachial plexus block; complication rate observed was significantly low in in ultrasound-guided neurostimulator group.
Keywords : ULTRASONOGRAPHY, AXILLER BLOCK, nerustimulator