Ultrasound-guided brachial plexus catheterization finger replantation for postoperative analgesia

Abstract

Objective To study the ultrasound-guided brachial plexus catheterization finger replantation in the guidance ofthe value of postoperative analgesia.Methods 80 cases of emergency means to be a line or two referring to digital replantation patients(male 58 cases,22 cases of women),aged 17～67-year-old,ASA I ～III-class,non-traumatic neck and brachial plexus injury,by means of postoperative analgesia were randomly divided into continuous brachial plexus block(PCBA group)and intravenous analgesia group(PCIA group).Visual analog scale(VAS)were patients of the 24 h and 48 h after the sedative and analgesic evahation of the extent of,and record the emergence of nausea,vomiting,complications such as phrenic nerve block several of the cases.Results All patients were able to comfortably accept the ultrasound-guided brachial plexus puncture process,the exact effect of intraoperative anesthesia.that of PCBA Group of ultrasound-guided brachial plexus puncture the smooth process,all successfully.PCBA group compared with the PCIA group,VAS score and sedation extent there was a significant difference(P<0.01),PCIA vasospasm group and incidence of nausea and vomiting was higher than PCBA Group.Conclusion Ultrasound-guided brachial plexus nerve catheterization with positioning accuracy,the success rate is high;and PCBA group replantation better means to improve the blood supply,improve the survival rate of replanted digits to avoid the added opioid-induced nausea,vomiting and other complications,increase patient comfort. Key words: Ultrasound-guided; Brachial plexus; Catheterization; Postopercotive analgesia