Supraclavicular versus infraclavicular Brachial Plexus block

Tejash Sharma; Anupsinh H. Chhasatia; Jignesh Patel; Dinesh Chauhan; Chirag Kapoor

doi:10.53730/ijhs.v6nS6.10788

Authors

Tejash Sharma Associate Professor, Department of Anesthesia, Smt B.K.Shah Medical Institute and research centre, Sumandeep Vidyapeeth Deemed to be university (an Institution), Piparia
Anupsinh H. Chhasatia Associate Professor, Department of Psychiatry, Dr Kiran C Patel medical college & research Institute, Veer Narmad South Gujarat University), Bharuch
Jignesh Patel Assistant Professor, Department of Anaesthesia, Banas Medical college& Research Institute), Palanpur
Dinesh Chauhan Professor, Department of Anaesthesia, Smt B.K.Shah Medical Institute and research centre, Sumandeep Vidyapeeth Deemed to be university(an Institution), Piparia
Chirag Kapoor
drchiragkapoor@yahoo.com
Assistant Professor, Department of Orthopedics, Smt B.K.Shah Medical Institute and research centre, Sumandeep Vidyapeeth Deemed to be university(an Institution), Piparia

Keywords:

brachial plexus block, infraclavicular block, supraclavicular block, nerve locator, forearm surgery

Abstract

BACKGROUND: Of the various modalities of achieving surgical anaesthesia of the forearm, brachial plexus block by injecting local anaesthetic is considered highly beneficial and practical. Supraclavicular and infra-clavicular approaches of brachial plexus blocks provide comprehensive anaesthesia for surgeries of the forearm. The primary outcome measured was the comparison of two blocks with respect to sparing of any dermatome, whereas the secondary outcomes measured were block performance time, duration of analgesia, and complications associated with each technique. METHODS: 150 patients belonging to the American Society of Anesthesiologists (ASA) physical status I and II in the age range of 18–80 years scheduled to undergo surgeries of the forearm were divided into two groups: Supraclavicular (SCB group) and Infraclavicular (ICB group) of 75 each. Both the blocks were given by 30 mL of 0.25% injection Bupivacaine using a 22G, 5 cm insulated needle and nerve locator. Both the groups were compared with respect to sparing of dermatomes, block performance time, duration of analgesia and complications like Horner’s syndrome, vascular puncture, and pneumothorax. RESULTS: Block performance time was similar in both the groups. Duration of analgesia was comparable among the two groups.

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