Comparison of ultrasound and electrical neurostimulation guidance in axillary brachial plexus block

  • Omur Ozturk Assistant Professor, Department of Anesthesiology & Reanimation, Kafkas University School of Medicine, Kars, (Turkey).
  • Ali Bilge Assistant Professor, Department of Orthopaedics & Traumatology, Kafkas University School of Medicine, Kars, (Turkey).
  • Aysu Hayriye Tezcan Assistant Professor, Department of Anesthesiology & Reanimation, Kafkas University School of Medicine, Kars, (Turkey).
  • Hatice Yagmurdur Professor, Department of Anesthesiology & Reanimation, Kafkas University School of Medicine, Kars, (Turkey).
  • Gokhan Ragıp Ulusoy Assistant Professor, Department of Orthopaedics & Traumatology, Kafkas University School of Medicine, Kars, (Turkey).
  • Inan Gezgin Assistant Professor, Department of Neurosurgery, Kafkas University School of Medicine, Kars, (Turkey).
  • Burhan Dost Department of Anesthesiology and Reanimation Department, Adıyaman Besni Government Hospital, Adıyaman, (Turkey).
DOI: https://doi.org/10.35975/apic.v0i0.1243
Keywords: Anesthesia, Conduction, Brachial Plexus Block, Ultrasonography, Interventional, Ultrasound, Percutaneous Electric Nerve Stimulation, Neurostimulation

Abstract

Objectives: To compare ultrasound guidance (USG) and electrical neurostimulation guidance (ENSG) in axillary brachial plexus block in terms of block performing time, sensory and motor block quality, and patient satisfaction.

Methodology: 200 patients undergoing elective carpal tunnel syndrome surgery were randomly assigned to one of two groups; the USG group or the ENSG group. Axillary blocks were performed with a mixture of 15 ml of lidocaine 2% and 15 ml of bupivacaine 0.5% (a total of 30 ml solution). Sensory block was evaluated with a pinprick test and motor block was evaluated via the Bromage scale by a blinded observer.

Results: Block performing time was significantly shorter in the USG group than in the ENSG group (P<0.001). The sensory and motor block onset times were significantly shorter and the additional analgesic requirements were significantly lower in the USG group than in the ENSG group (P<0.001).

Conclusion: USG is better than ENSG in axillary brachial plexus block in terms of block performing time, block quality and patient satisfaction.

Citation: Ozturk O, Bilge A, Tezcan AH, Tezcan HYAH, Ulusoy GR, Gezgin I, Dost B. Comparison of ultrasound and electrical neurostimulation guidance in axillary brachial plexus block. Anaesth Pain & Intensive Care 2016;20(1):50-53.

Published
04-28-2020
How to Cite
Ozturk, O., Bilge, A., Tezcan, A., Yagmurdur, H., Ulusoy, G., Gezgin, I., & Dost, B. (2020). Comparison of ultrasound and electrical neurostimulation guidance in axillary brachial plexus block. Anaesthesia, Pain & Intensive Care, 50-53. https://doi.org/10.35975/apic.v0i0.1243
Issue
Vol.20 No.1(2016): January-March
Section
Original Articles