COMPARISON OF TWO DIFFERENT TECHNIQUES FOR BRACHIAL PLEXUS BLOCK – INFRA CLAVICULAR (CORACOID APPROACH) AND AXILLARY APPROACH

Dr. R Kavitha; Dr. Santhanakannan

Volume : VII, Issue : VI, June - 2017

COMPARISON OF TWO DIFFERENT TECHNIQUES FOR BRACHIAL PLEXUS BLOCK – INFRA CLAVICULAR (CORACOID APPROACH) AND AXILLARY APPROACH

Dr. R Kavitha, Dr. Santhanakannan

Abstract :

Background: Infraclavicular block of achial plexus by coracoid approach provides an adequate sensory and motor blockade, with sufficient tourniquet tolerance, and better postoperative analgesia when compared to axillary approach. This study was therefore undertaken to evaluate the clinical efficacy of infraclavicular block in comparison with axillary block, and both approach guided by peripheral nerve stimulators. Methods: Sixty patients of ASA group I and A, undergoing upper limb surgeries were randomly assigned into two groups, Group I and Group A. 30 patients received an infra – clavicular block in Group I, and other 30 patients received an axillary block in group A. Block performance time, sensory and motor blockade, tourniquet tolerance and its quality, duration of postoperative analgesia, first rescue analgesia time and block related complications were observed Results: Study showed that the time to perform block was shorter, with good quality of tourniquet tolerance, with successful proximal as well as distal blockade was there in Group I. Infraclavicular achial plexus block is clinically effective with least vessel puncture complications.