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2012, Number 2

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Rev Mex Anest 2012; 35 (2)

Posterior cervical or interscalene blocks for upper extremity surgery: a comparative study between ultrasound and neurostimulation

Zaragoza-Lemus G, Leal-Gudiño L, Chávez-Heres T, Peña-Riveron A, Torres-Maldonado AS

Language: Spanish
References: 27
Page: 107-114
PDF size: 179.80 Kb.


ABSTRACT

Objective: To assess the anesthetic efficacy of the blockade of the brachial plexus posterior approach when comparing the location of the plexus nerve stimulation to ultrasound in surgery of upper extremity. As well as analgesia and adverse effects. Material and methods: We performed a clinical trial, observational, prospective, randomized study of 34 patients, ASA I-III, undergoing surgery for upper extremity. Was performed to locate the brachial plexus with the contraction of the deltoid by neurostimulation peripheral nerves and nerve roots localization with linear transducer 6 to 13 mHz and distribution of local anesthetic with ultrasound. We evaluated the sensory and motor block at different times, the duration of analgesia and adverse effects. Results: Surgical anesthesia was 100% in the ultrasound group and 88% in the neurostimulation group. Adverse effects only observed dysphonia in a patient in each group. Conclusions: The use of ultrasound improve the success rate for brachial plexus block after interscalene approach because the needle is observed and where necessary replacing it allows to observe an adequate distribution of local anesthetic.


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