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Interscalene brachial plexus block : a comparative study between nerve stimulator and ultrasound guidance in shoulder surgery
المؤلفون المشاركون
Fawzi, Mahir
Makkawi, Nivan M.
Arif, Ahmad Abd al-Aziz
Husayn, Jumah Zuhri
Murad, Muhammad
المصدر
Ain Shams Journal of Anesthesiology
العدد
المجلد 5، العدد 2 (30 مايو/أيار 2012)، ص ص. 238-242، 5ص.
الناشر
جامعة عين شمس كلية الطب قسم التخدير
تاريخ النشر
2012-05-30
دولة النشر
مصر
عدد الصفحات
5
الملخص EN
Background and objectives Ultrasonography seems to be the most suitable image modality for regional anesthesia.
Perhaps the most significant advantage of ultrasound technology is the ability to provide an anatomic examination of the area of interest in real time, which allows one to visualize the neural and the surrounding structures and visualize the pattern of local anesthetic spread.
The aim of this study was to evaluate ultrasound-guided nerve detection in an interscalene brachial plexus block and to compare it with nerve stimulator-guided nerve detection in terms of simplicity, safety, and efficacy.
Materials and methods Sixty patients were scheduled for unilateral shoulder surgery, shoulder arthroscopy, or surgical neck humerus surgery.
They were randomly divided into two groups (30 patients in each group): group I: those patients who received an interscalene brachial plexus block through ultrasound guidance and group II: those patients who received an interscalene brachial plexus block through nerve stimulator guidance.
Results The time required to perform the procedure was significantly less in group I = 5 (1) min compared with group II= 6.2 (1.3) min.
The block was successful in all patients of group I whereas two patients in the nerve stimulator group (group II) failed to achieve complete surgical block but the patients were excluded from the study.
This failure was statistically not significant.
Morphine consumption was statistically lower in group I 4 (1) mg/24 h than in group II 7 (1) mg/24 h.
Undesirable events were not observed among patients in group I, whereas three patients of group II (10%) had a complicated course such as delayed paresthesia, dyspnea, tinnitus, and circumoral numbness, but the difference between both the groups was not statistically significant (P40.05).
The degree of satisfaction showed a significant difference, favoring ultrasound guidance (group I) (86.6%) compared with group II (53.3%).
Conclusion An ultrasound-guided interscalene block offers shorter time, faster onset, prolonged duration of analgesia, more patient satisfaction, and less morphine consumption for postoperative analgesia, with no significant differences in terms of the success rate and complications, in comparison with the nerve stimulator-guided interscalene block
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Fawzi, Mahir& Makkawi, Nivan M.& Arif, Ahmad Abd al-Aziz& Husayn, Jumah Zuhri& Murad, Muhammad. 2012. Interscalene brachial plexus block : a comparative study between nerve stimulator and ultrasound guidance in shoulder surgery. Ain Shams Journal of Anesthesiology،Vol. 5, no. 2, pp.238-242.
https://search.emarefa.net/detail/BIM-760685
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Fawzi, Mahir…[et al.]. Interscalene brachial plexus block : a comparative study between nerve stimulator and ultrasound guidance in shoulder surgery. Ain Shams Journal of Anesthesiology Vol. 5, no. 2 (May. 2012), pp.238-242.
https://search.emarefa.net/detail/BIM-760685
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Fawzi, Mahir& Makkawi, Nivan M.& Arif, Ahmad Abd al-Aziz& Husayn, Jumah Zuhri& Murad, Muhammad. Interscalene brachial plexus block : a comparative study between nerve stimulator and ultrasound guidance in shoulder surgery. Ain Shams Journal of Anesthesiology. 2012. Vol. 5, no. 2, pp.238-242.
https://search.emarefa.net/detail/BIM-760685
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 242
رقم السجل
BIM-760685
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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