International Journal of Science and Research (IJSR)

International Journal of Science and Research (IJSR)
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Comparative Studies | Anaesthesiology | Volume 13 Issue 12, December 2024 | Pages: 285 - 289 | India


Comparison of the Supraclavicular, Infraclavicular, and Axillary Approaches for Ultrasound Guided Brachial Plexus Block for Surgical Anaesthesia

Dr. Vaibhav Singh, Dr. Neelam Singh, Dr. Sakshat, Dr. L. S. Mishra

Abstract: Introduction: Brachial plexus blocks (BPB) have become integral in managing perioperative pain for upper limb surgeries, providing benefits such as reduced opioid use, enhanced postoperative pain control, and fewer side effects compared to general anaesthesia. With the advent of ultrasound (US) technology, BPB has gained precision, improved block success rates and reducing complications. Among the various approaches, the supraclavicular (SCL), infraclavicular (ICL), and axillary (AX) methods are widely employed. This study aimed to compare these three approaches under ultrasound guidance. Objectives: To compare the effectiveness, onset time, duration, safety, and complications associated with ultrasound - guided BPB using SCL, ICL, and AX approaches in patients undergoing upper limb surgeries. Material and Methods: This prospective, randomized, double - blinded study included 210 patients aged 18?60 years, ASA Grade I or II, scheduled for elective upper limb surgeries. Participants were randomized into three groups (SCL, ICL, AX) receiving 25 mL of 0.5% bupivacaine via ultrasound - guided BPB. Outcomes assessed included sensory and motor block onset and duration, imaging and needling parameters, block success rates, and complications. Data were analysed using SPSS v24.0 with p

Keywords: Ultrasound - guided brachial plexus block, Supraclavicular approach, Infraclavicular approach, Axillary approach, regional anaesthesia techniques

How to Cite?: Dr. Vaibhav Singh, Dr. Neelam Singh, Dr. Sakshat, Dr. L. S. Mishra, "Comparison of the Supraclavicular, Infraclavicular, and Axillary Approaches for Ultrasound Guided Brachial Plexus Block for Surgical Anaesthesia", Volume 13 Issue 12, December 2024, International Journal of Science and Research (IJSR), Pages: 285-289, https://www.ijsr.net/getabstract.php?paperid=SR241202122731, DOI: https://dx.doi.org/10.21275/SR241202122731

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