کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2763496 1150755 2008 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Radial plus musculocutaneous nerve stimulation for axillary block is inferior to triple nerve stimulation with 2% mepivacaine
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیهوشی و پزشکی درد
پیش نمایش صفحه اول مقاله
Radial plus musculocutaneous nerve stimulation for axillary block is inferior to triple nerve stimulation with 2% mepivacaine
چکیده انگلیسی

Study ObjectiveTo compare the extent of sensory and motor block with two different nerve stimulation techniques in axillary blocks.DesignProspective, randomized, investigator-blinded study.SettingAmbulatory surgery unit of a university hospital.Patients60 ASA physical status I, II, and III patients undergoing surgery at or below the elbow.InterventionsPatients receiving axillary block were randomized into two nerve stimulation groups with either radial plus musculocutaneous or triple nerve stimulation (radial, median, and musculocutaneous nerves). Thirty milliliters of plain 2% mepivacaine was given to all patients either in a single or fractionated dosing for radial or for radial and median nerves, according to group assignment. Five milliliters of plain 1% mepivacaine for the musculocutaneous nerve was given to all patients.MeasurementsBlocks were assessed at 10, 20, and 30 minutes. Rates of supplementation given as a result of insufficient surgical anesthesia were also noted.Main ResultsStatistically significantly higher rates of anesthesia at the cutaneous distributions of median and medial cutaneous of the arm nerves with multiple nerve stimulation at 30 minutes were found as compared with radial plus musculocutaneous nerve stimulation. The rate of supplementation was lower with multiple nerve stimulation.ConclusionsRadial plus musculocutaneous nerve stimulation showed lower efficacy of axillary block than did triple nerve stimulation when using 2% mepivacaine.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Clinical Anesthesia - Volume 20, Issue 4, June 2008, Pages 253–256
نویسندگان
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