Abstract

USG Guided Supraclavicular, Vertical Infraclavicular and Coracoid Infraclavicular Approach of Brachial Plexus Block: A Double-Blind Comparative Study

Highlights

  • The role played by USG is pivotal to partake higher success in regional anaesthesia, thereby avoiding the requirement of supplemental anaesthesia, general anaesthesia (GA) or other aerosol generating procedures (AGP) in this COVID-19 pandemic era [1]

  • Maximum patients were comfortable, had score 1 while putting block in all the three groups, but it was significantly high in Group coracoid infraclavicular (CI) (93.33%) when compared to Supraclavicular approach (SC) (63.3%) & vertical infraclavicular (VI) (66.7%)

  • The vital parameters like heart rate, systolic and diastolic the study period (Figures 3 & 4). blood pressure were comparable among three groups throughout

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Summary

Introduction

The role played by USG is pivotal to partake higher success in regional anaesthesia, thereby avoiding the requirement of supplemental anaesthesia, general anaesthesia (GA) or other AGPs in this COVID-19 pandemic era [1].BPB gives us a fully conscious patient, avoids polypharmacy, and provides better hemodynamic stability as well as an excellent post-operative analgesia [2]. Despite of its remunerations of less complications & more consistent technique, clinical use of infraclavicular block (ICb) is not widespread [5]. This might be due to uncertain surface landmarks, and the discernment that ICbs are more painful. Brachial plexus block (BPB) is a time tested, valuable and safe alternative to general anaesthesia for upper limb day care surgeries. This randomized double-blind study was conducted to compare three USG guided approaches for BPB using 0.5% ropivacaine for upper limb surgeries

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