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[Peripheral anesthesia techniques in surgery of the arm]
R Martinotti1, P Berlanda, M Zanlungo
1Servizio di Anestesia e Rianimazione, Ospedale Civile, Voghera.
Minerva Chirurgica
|January 19, 2000
Summary
Peripheral nerve blocks for upper extremity surgery are effective, with 95% satisfactory results. These techniques offer benefits like reduced bleeding and improved patient recovery compared to general anesthesia.
Area of Science:
- Anesthesiology
- Orthopedic Surgery
- Hand Surgery
Background:
- Focuses on peripheral anesthesia techniques for upper extremity surgical procedures.
- Addresses the need for effective anesthesia in treating upper limb lesions.
Purpose of the Study:
- To evaluate the efficacy and patient acceptance of peripheral nerve blocks for upper extremity surgeries.
- To compare outcomes of different peripheral block techniques in hand, forearm, and arm surgery.
Main Methods:
- Utilized brachial plexus block (supraclavicular approach) for arm, forearm, and hand surgery.
- Employed axillary block for forearm and hand surgery, and local anesthesia for wrist and hand injuries.
- Administered local anesthetics including Bupivacaine 0.5% and Mepivacaine 2% without Epinephrine.
Main Results:
- Achieved satisfactory results in 95% of surgical cases.
- Required general anesthesia in 5% of cases, primarily involving uncooperative patients, young individuals, lengthy procedures, or incomplete blocks.
- Demonstrated high success rates in reimplantation surgeries.
Conclusions:
- Peripheral anesthesia techniques were well-accepted by both surgeons and patients.
- Key advantages include reduced intraoperative bleeding, facilitated surgical performance, and enhanced postoperative recovery.
- Offered significant benefits such as absence of narcotic side effects and prolonged postoperative analgesia.