Volume : VIII, Issue : V, May - 2018

A COMPARATIVE STUDY OF THE SUBCLAVIAN PERIVASCULAR APPROACH WITH LATERAL APPROCH USING 0.5% ROPIVACAINE IN SUPRACLAVICULAR BRACHIAL PLEXUS BLOCK

Dr. Jiju Yeldho, Dr. S. Saiprabha

Abstract :

Aim:

To compare the subclavian perivascular approach and lateral approach of supraclavicular blockwith regards to the ease of performing the block, success rate, dermatomes spared, onset and duration of sensory/motor block and complications

Methods:

In this prospective, randomised, controlled study sixty patients of  both sexes, aged between 18 and 65 years, belonging to ASA grade I, II scheduled to undergo surgeries below the midarm, were divided into 2 groups,  namelyGroup L and Group P consisting of thirty patients each. 30 ml of 0.5%ropivacaine was administered by the lateral approach in group L and by the

subclavian perivascular approach in group P. The observations were analysed

statistically, calculating the means, percentages, frequencies, standard deviation,

chi–square and ‘p’ values.

Results:

 28 patients (93.3%) in group L and 25 patients (83.3%) in group P had

a successful block. The lateral approach was found to be technically easier with

 

mean time taken to perform the block being 4+/–1.462 minutes compared to

6.57+/–1.813 minutes in the subclavian perivascular approach. There was no

significant difference in the dermatomes spared or complications occurred. The

onset of sensory and motor block was found to be earlier in the lateral approach

(6.96+/–1.401 minutes, 8.89+/–1.792 minutes respectively) compared to the

subclavian perivascular approach (8.24+/–1.451 minutes, 10.68+/–2.015

minutes). The duration of sensory/motor block in both the approaches was

comparable.

Conclusion:

The lateral approach of supraclavicular block is safe, technically

easier and more successful with a lesser latency period compared to the

subclavian perivascular approach.

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

DR.JIJU YELDHO, DR.S.SAIPRABHA, A COMPARATIVE STUDY OF THE SUBCLAVIAN PERIVASCULAR APPROACH WITH LATERAL APPROCH USING 0.5% ROPIVACAINE IN SUPRACLAVICULAR BRACHIAL PLEXUS BLOCK, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-8 | Issue-5 | May-2018

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