Randomized prospective study of three different techniques for ultrasound-guided axillary brachial plexus block

Página do item simplificado
dc.citation.issue1
dc.citation.volume68
dc.contributor.authorCunha Ferraro, Leonardo Henirque [UNIFESP]
dc.contributor.authorTakeda, Alexandre [UNIFESP]
dc.contributor.authorCastello Branco de Sousa, Paulo Cesar [UNIFESP]
dc.contributor.authorGomes Mehlmann, Fernanda Moreira [UNIFESP]
dc.contributor.authorMitsunaga Junior, Jorge Kiyoshi [UNIFESP]
dc.contributor.authordos Reis Falcao, Luiz Fernando [UNIFESP]
dc.coverageNew York
dc.date.accessioned2020-07-02T18:52:06Z
dc.date.available2020-07-02T18:52:06Z
dc.date.issued2018
dc.description.abstractIntroduction: 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 sen
dc.description.abstractBA - 1044 +/- 389.5 sen
dc.description.abstractAA -932.9 +/- 314.5 s), and less total time for the procedure (PN - 1132 +/- 395.8 sen
dc.description.abstractBA - 1346.2 +/- 413.4 sen
dc.description.abstractAA -1329.5 +/- 344.4 s). BA technique had a higher incidence of vascular puncture (BA -22.5%en
dc.description.abstractAA -16.3%en
dc.description.abstractPN - 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.affiliationUniv Fed Sao Paulo UNIFESP, EPM, Disciplina Anestesiol Dor & Med Intens, Sao Paulo, SP, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo UNIFESP, EPM, Disciplina Anestesiol Dor & Med Intens, Sao Paulo, SP, Brazil
dc.description.sourceWeb of Science
dc.format.extent62-68
dc.identifierhttp://dx.doi.org/10.1016/j.bjane.2017.07.001
dc.identifier.citationRevista Brasileira De Anestesiologia. New York, v. 68, n. 1, p. 62-68, 2018.
dc.identifier.doi10.1016/j.bjane.2017.07.001
dc.identifier.fileWOS000424375300006.pdf
dc.identifier.issn0034-7094
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/53877
dc.identifier.wosWOS:000424375300006
dc.language.isoeng
dc.publisherElsevier Science Inc
dc.relation.ispartofRevista Brasileira De Anestesiologia
dc.rightsAcesso restrito
dc.subjectAxillary brachial plexus blocken
dc.subjectUltrasounden
dc.subjectPerineural techniqueen
dc.subjectPerivascular techniqueen
dc.subjectVascular punctureen
dc.titleRandomized prospective study of three different techniques for ultrasound-guided axillary brachial plexus blocken
dc.typeArtigo
Arquivos
Pacote Original
Agora exibindo 1 - 1 de 1
Imagem de Miniatura
Nome:
WOS000424375300006.pdf
Tamanho:
345.85 KB
Formato:
Adobe Portable Document Format
Descrição:
Baixar
Coleções
EPM - Artigos