A Triple-Masked, Randomized Controlled Trial Comparing Ultrasound-Guided Brachial Plexus and Distal Peripheral Nerve Block Anesthesia for Outpatient Hand Surgery
المؤلفون المشاركون
Lam, Nicholas C. K.
Petersen, Timothy R.
Dillow, Jennifer
Mercer, Deana
Soneru, Codruta
Mariano, Edward R.
Charles, Matthew
Jaime, Francisco
المصدر
Anesthesiology Research and Practice
العدد
المجلد 2014، العدد 2014 (31 ديسمبر/كانون الأول 2014)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2014-04-15
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Background.
For hand surgery, brachial plexus blocks provide effective anesthesia but produce undesirable numbness.
We hypothesized that distal peripheral nerve blocks will better preserve motor function while providing effective anesthesia.
Methods.
Adult subjects who were scheduled for elective ambulatory hand surgery under regional anesthesia and sedation were recruited and randomly assigned to receive ultrasound-guided supraclavicular brachial plexus block or distal block of the ulnar and median nerves.
Each subject received 15 mL of 1.5% mepivacaine at the assigned location with 15 mL of normal saline injected in the alternate block location.
The primary outcome (change in baseline grip strength measured by a hydraulic dynamometer) was tested before the block and prior to discharge.
Subject satisfaction data were collected the day after surgery.
Results.
Fourteen subjects were enrolled.
Median (interquartile range [IQR]) strength loss in the distal group was 21.4% (14.3, 47.8%), while all subjects in the supraclavicular group lost 100% of their preoperative strength, P = 0.001.
Subjects in the distal group reported greater satisfaction with their block procedures on the day after surgery, P = 0.012.
Conclusion.
Distal nerve blocks better preserve motor function without negatively affecting quality of anesthesia, leading to increased patient satisfaction, when compared to brachial plexus block.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Lam, Nicholas C. K.& Charles, Matthew& Mercer, Deana& Soneru, Codruta& Dillow, Jennifer& Jaime, Francisco…[et al.]. 2014. A Triple-Masked, Randomized Controlled Trial Comparing Ultrasound-Guided Brachial Plexus and Distal Peripheral Nerve Block Anesthesia for Outpatient Hand Surgery. Anesthesiology Research and Practice،Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-463497
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Lam, Nicholas C. K.…[et al.]. A Triple-Masked, Randomized Controlled Trial Comparing Ultrasound-Guided Brachial Plexus and Distal Peripheral Nerve Block Anesthesia for Outpatient Hand Surgery. Anesthesiology Research and Practice No. 2014 (2014), pp.1-7.
https://search.emarefa.net/detail/BIM-463497
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Lam, Nicholas C. K.& Charles, Matthew& Mercer, Deana& Soneru, Codruta& Dillow, Jennifer& Jaime, Francisco…[et al.]. A Triple-Masked, Randomized Controlled Trial Comparing Ultrasound-Guided Brachial Plexus and Distal Peripheral Nerve Block Anesthesia for Outpatient Hand Surgery. Anesthesiology Research and Practice. 2014. Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-463497
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-463497
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر