Randomized prospective study of three different techniques for ultrasound-guided axillary brachial plexus block
dc.citation.issue | 1 | |
dc.citation.volume | 68 | |
dc.contributor.author | Cunha Ferraro, Leonardo Henirque [UNIFESP] | |
dc.contributor.author | Takeda, Alexandre [UNIFESP] | |
dc.contributor.author | Castello Branco de Sousa, Paulo Cesar [UNIFESP] | |
dc.contributor.author | Gomes Mehlmann, Fernanda Moreira [UNIFESP] | |
dc.contributor.author | Mitsunaga Junior, Jorge Kiyoshi [UNIFESP] | |
dc.contributor.author | dos Reis Falcao, Luiz Fernando [UNIFESP] | |
dc.coverage | New York | |
dc.date.accessioned | 2020-07-02T18:52:06Z | |
dc.date.available | 2020-07-02T18:52:06Z | |
dc.date.issued | 2018 | |
dc.description.abstract | Introduction: Randomized prospective study comparing two perivascular techniques with the perineural technique for ultrasound-guided axillary brachial plexus block (US-ABPB). The primary objective was to verify if these perivascular techniques are noninferior to the perineural technique. Method: 240 patients were randomized to receive the techniques: below the artery (BA), around the artery (AA) or perineural (PN). The anesthetic volume used was 40 mL of 0.375% bupivacaine. All patients received a musculocutaneous nerve blockade with 10 mL. In BA technique, 30 mL were injected below the axillary artery. In AA technique, 7.5 mL were injected at 4 points around the artery. In PN technique, the median, ulnar, and radial nerves were anesthetized with 10 mL per nerve. Results: Confidence interval analysis showed that the perivascular techniques studied were not inferior to the perineural technique. The time to perform the blockade was shorter for the BA technique (300.4 +/- 78.4 s, 396.5 +/- 117.1 s, 487.6 +/- 172.6 s, respectively). The PN technique showed a lower latency time (PN - 655.3 +/- 348.9 s | en |
dc.description.abstract | BA - 1044 +/- 389.5 s | en |
dc.description.abstract | AA -932.9 +/- 314.5 s), and less total time for the procedure (PN - 1132 +/- 395.8 s | en |
dc.description.abstract | BA - 1346.2 +/- 413.4 s | en |
dc.description.abstract | AA -1329.5 +/- 344.4 s). BA technique had a higher incidence of vascular puncture (BA -22.5% | en |
dc.description.abstract | AA -16.3% | en |
dc.description.abstract | PN - 5%). Conclusion: The perivascular techniques are viable alternatives to perineural technique for US-ABPB. There is a higher incidence of vascular puncture associated with the BA technique. (C) 2017 Published by Elsevier Editora Ltda. on behalf of Sociedade Brasileira de Anestesiologia. | en |
dc.description.affiliation | Univ Fed Sao Paulo UNIFESP, EPM, Disciplina Anestesiol Dor & Med Intens, Sao Paulo, SP, Brazil | |
dc.description.affiliationUnifesp | Univ Fed Sao Paulo UNIFESP, EPM, Disciplina Anestesiol Dor & Med Intens, Sao Paulo, SP, Brazil | |
dc.description.provenance | Made available in DSpace on 2020-07-02T18:52:06Z (GMT). No. of bitstreams: 0 Previous issue date: 2018. Added 1 bitstream(s) on 2020-07-02T20:13:24Z : No. of bitstreams: 1 WOS000424375300006.pdf: 354151 bytes, checksum: a41f25695918f7729bde240f4e90f0a5 (MD5) | en |
dc.description.source | Web of Science | |
dc.format.extent | 62-68 | |
dc.identifier | http://dx.doi.org/10.1016/j.bjane.2017.07.001 | |
dc.identifier.citation | Revista Brasileira De Anestesiologia. New York, v. 68, n. 1, p. 62-68, 2018. | |
dc.identifier.doi | 10.1016/j.bjane.2017.07.001 | |
dc.identifier.file | WOS000424375300006.pdf | |
dc.identifier.issn | 0034-7094 | |
dc.identifier.uri | https://repositorio.unifesp.br/handle/11600/53877 | |
dc.identifier.wos | WOS:000424375300006 | |
dc.language.iso | eng | |
dc.publisher | Elsevier Science Inc | |
dc.relation.ispartof | Revista Brasileira De Anestesiologia | |
dc.rights | Acesso restrito | |
dc.subject | Axillary brachial plexus block | en |
dc.subject | Ultrasound | en |
dc.subject | Perineural technique | en |
dc.subject | Perivascular technique | en |
dc.subject | Vascular puncture | en |
dc.title | Randomized prospective study of three different techniques for ultrasound-guided axillary brachial plexus block | en |
dc.type | Artigo |
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