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Safe method of supraclavicular brachial-plexus anesthesia
Archives of Orthopaedic and Traumatic Surgery. Archiv Fur Orthopadische Und Unfall-Chirurgie
|January 1, 1983
Summary
A novel needle direction for supraclavicular brachial plexus anesthesia achieved over 95% effectiveness in 561 patients. This technique, using bupivacaine, provided long-lasting anesthesia for complex surgeries and severe pain management.
Area of Science:
- Anesthesiology
- Surgical Procedures
- Pain Management
Background:
- The supraclavicular approach to brachial plexus anesthesia is a common technique.
- Optimizing needle direction can improve anesthetic efficacy and safety.
Purpose of the Study:
- To evaluate a newly devised needle direction for supraclavicular brachial plexus anesthesia.
- To assess the efficacy, safety, and duration of anesthesia in a large patient cohort.
Main Methods:
- Applied a modified needle direction for supraclavicular brachial plexus block in 561 patients (ages 6-85).
- Utilized 20 ml of anesthetic solution, including the long-acting drug bupivacaine.
- Monitored for anesthetic effect and complications like pneumothorax.
Main Results:
- Achieved over 95% anesthetic success rate.
- No complications such as pneumothorax were reported.
- Anesthesia duration exceeded 10 hours with bupivacaine.
Conclusions:
- The devised needle direction for supraclavicular brachial plexus anesthesia is highly effective and safe.
- The technique provides prolonged anesthesia, beneficial for lengthy surgeries and managing severe postoperative pain.
- This method offers a reliable option for complex orthopedic and reconstructive procedures.