Olivares SW, García RJ

Language: Spanish
References: 13
Page: 79-84
PDF size: 89.49 Kb.

ABSTRACT

Regional anesthesia can provide an adequate surgical experience an Emergency Room by reducing collateral effects and complications of general anesthesia, this technique is used in those surgeries considered ambulatory, and can be used in patients of the brachial plexus blocking has been used during several decades due to its safety and effectivity. Aim: To compare the efficacy between supraclavicular and interscalenic blocking of the brachial plexus in upper limb surgery. Method: A transversal comparative and experimental study was performed in the emergency rooms of Specialty Hospitals 1 and 2 of the CMNO. One hundred and thirty six patients with upper limb injuries were randomly selected. Supraclavicular blocking was performed in group 1 and interescalenic in group 2. Sensitive, motor and extension blockade was measured for each and results were compared. Statistical analysis was performed with chi square. Results: Complete, sensitive loss was found in 86% patients of group 1 and in 77.9% of group 2. Loss of motor function including the fingers was 57.4% in group 1 and 47.1% in group 2. Total sensitive loss and finger extension in group 1 was 57.4% and 63.2% in group 2. Final evaluation of the anesthetic procedure was qualified as successful in 85% of group 1 and 95.6% of group 2. Conclusions: No significant differences were found between both accesses. Efficacy of both procedures are similar, therefore brachial is a useful procedure in an Emergency Room.

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