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Infraclavicular Brachial Plexus Block For Upper Limb Surgeries In Adult Patients; Non-Systematic Review
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| Author:
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AMJED QASIM MOHAMMED, MAJID FAKHIR ALHAMAIDAH, HUSSEIN ALI HUSSEIN, HUSSEIN ALKHFAJI, SAMI RAHEEM HASAN, ALI B. ROOMI
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| Abstract:
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Background: Several techniques exist to produce local anesthetic blockade of the brachial plexus. The infraclavicular brachial plexus block is one of the common approaches that provides dense anesthesia for the upper limb (upper arm, elbow, forearm and hand). The goal of this study was to clarify the efficacy and safety of infraclavicular block (ICB) and to show if any superiority for this technique over other brachial plexus approaches in providing regional anesthesia for surgeries of the upper limb.
Search methods: We searched the Cochrane Central Register of Controlled Trials (CENTRAL) in The Cochrane Library (2013, Issue 5); MEDLINE (1966 to June 2013) via OvidSP; and EMBASE (1980 to June 2013) via OvidSP. We searched Google Scholar, Web of Science and reviewed the references that compared ICB with other BPBs as the sole anesthetic technique for the upper limb surgeries.
Result: Infraclavicular block is as safe and effective as any other brachial plexus block, regardless of whether ultrasound or nerve stimulation guidance is used. It’s associated with a minor possibility of tourniquet pain during surgery, more reliable blockade of the musculocutaneous nerve when compared to an axillary block, and a significantly shorter block performance time compared to supraclavicular block.
Conclusion: authors with consent concluded that Infraclavicular block can decrease the complications of peripheral nerve block and improve patient satisfaction during perioperative management. And can be considered as a Safe and effective technique.
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| Keyword:
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Infraclavicular block, Regional anesthesia, Upper limb surgery and brachial plexus.
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| EOI:
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-
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| DOI:
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https://doi.org/10.31838/ijpr/2020.12.01.332
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| Download:
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