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Lateral approach for supraclavicular brachial plexus block.

Dk Sahu¹, Anjana Sahu

¹Department of Anaesthesiolgy, Jagjivanram Railway Hospital, Mumbai, India.

Indian Journal of Anaesthesia

|October 2, 2010

Summary

This study evaluated a lateral approach for supraclavicular brachial plexus block, finding a 92% success rate with no significant complications. This technique offers a safe and effective option for upper limb surgeries.

Keywords:

Brachial plexus block lateral approach brachial block lateral supraclavicular block supraclavicular block

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Area of Science:

Anesthesiology
Surgical Procedures
Regional Anesthesia

Background:

The supraclavicular brachial plexus block is a common anesthetic technique.
Evaluating alternative approaches is crucial for improving safety and efficacy.

Purpose of the Study:

To evaluate the success and complication rates of a lateral approach to the supraclavicular brachial plexus block.
To assess the onset and duration of sensory and motor blockade for this technique.

Main Methods:

Prospective, nonrandomized, open-label study conducted from 2004 to 2008.
82 adult patients (ASA Grade I-II) undergoing elective upper limb surgery below the midarm were included.
Observed block onset, duration, complications, and need for supplemental anesthesia.

Main Results:

A high success rate of 92% (75 out of 82 patients) was achieved.
No significant complications were reported in any of the cases.
Data on sensory and motor block characteristics were collected and analyzed.

Conclusions:

The lateral approach to supraclavicular brachial plexus block demonstrates a high success rate.
This technique appears to be safe and effective for major upper limb surgeries.
Further research may validate its widespread clinical application.