أعضاء هيئة التدريس - جامعة بنها
Single-"Injection Nerve-Stimulation Technique For Interscalene Brachial Plexus Block: A Comparative Study Between Anterior And Posterior Approaches
• 2006
معلومات البحث
المؤلفون
Mohamed Salem, MD ; Hamdy Eliwa, MD & Essam Al-Ghobashy MD
الكلمات المفتاحية
Not Available
المجلة العلمية
Not Available
الناشر
Not Available
المجلد
Not Available
العدد
Not Available
الصفحات
Not Available
publication.type
Local
رابط البحث
Not Available
المواد المرفقة
Not Available
الملخص
Objective: TI,is 1I1.lIlticellter study wns desiglleri to colllpnre t/le olltCOl/le ofillterscnlCl/(' block (l5B) mith lIer('c stili/illataI' dll rillg sholiider sllrgery IIsillg either the IlIlterior or posterior npproncll for block.
Patients & Methods: Comprised SO jJatiel/ts aJlocnted il/ 2 ('tll/al grollps accordillg to approucll IIscd: allterior (grol/p A) or posterior (group P). Both sCl/sory mid lIIotor block mere assessed as colilplete, illcolllpletc or.(llilllre. Block pl'rfonllllllcc tilllC, Intcucy tillle; dllrntioll of 1lI1IlIgcsia nll(/adl'crse cffccts werc recorded. Pnticllt colIIJort dl/rillg the I'roccdllrc wns euaillated 011 a 71isllal allalogllc 0-10 scale (VAS) alld j10tiellts wae askcd to nttribllte their discolllfort to either lIeedll' illscrtioll, IIcnl e stilll 11 latioll or both alld Wl'rC asked if they wOllldlilldcrgo the SII lIIe lIJ1c,lhct ic procerill re ill the fll t /I re if I/eeded.
Results: ISB pro7'ided colllplete block ill 47 pntiellts (94%), il/coII/plete block ill 2 paticllts (4%) IlIld fi1ilcd l>Io,-k ill all£' 1;lItiCllt (2%) ill grollp P Illld WIIS exclllded off the stl/dy. There mns n 1l01l-sigllijiCtlJll (p>O.OS) dl/krcllcc /JCtll'C(,1I both approachcs as regards tI,C Mock pel/orlllnllce tilllC, t/le latl'lIcy tilllC alld dllrntioll of tlIlIIlgcsia. MCt7l1 VAS ofdiscolI~fort dllrillg 158 was S.5±1.5, W pnticllts (20.5%) attribllted their discol1lfort to IIcer/le illsertioll, 16 plltiellts (32.7%) to lIerlle stilllllili/ioll IIl1d 23 pntiel/ts (46.8%) to both with II 11011slgll~ficallt (p>0.05) d~[fcrcl1cc behl'cl!lI both grOllps. Homcuer, 4.1 patiellts (82%) accepted to rcpcat thc prol'cdl/re if I/cl!ded iI/ ti,e flltil re. Adl'erse effects were ellcoltl/tered ill 9 patiel/ts (18.4%), mit" a 11011SiSlli(iCllllt di[fCl"cllc(' bet"ll'cclI bot" approac"es.
Conclusion: II could be col/ell/ded t"al sillgle-illicC/ioll lIen·c-stiIllJllatioll techlliql/c for illtasCtlICllc block I/sillS either allterior or posterior npproach provides prolollged cOlllplete II/Otor Illld sCl/sory block wit" lIIillilllnl IIdl'('rse erfeds /llId high patiellt' slltisfactiol/ witll t1 lIoII-sigllijimllt differellce betweel/ bOtJlllpprol1l'''es IIII/killg r1l1cst"ctist prefcrcllcc IIl1d cxpcricllcc to be t"e ollly guidc for choice.
Patients & Methods: Comprised SO jJatiel/ts aJlocnted il/ 2 ('tll/al grollps accordillg to approucll IIscd: allterior (grol/p A) or posterior (group P). Both sCl/sory mid lIIotor block mere assessed as colilplete, illcolllpletc or.(llilllre. Block pl'rfonllllllcc tilllC, Intcucy tillle; dllrntioll of 1lI1IlIgcsia nll(/adl'crse cffccts werc recorded. Pnticllt colIIJort dl/rillg the I'roccdllrc wns euaillated 011 a 71isllal allalogllc 0-10 scale (VAS) alld j10tiellts wae askcd to nttribllte their discolllfort to either lIeedll' illscrtioll, IIcnl e stilll 11 latioll or both alld Wl'rC asked if they wOllldlilldcrgo the SII lIIe lIJ1c,lhct ic procerill re ill the fll t /I re if I/eeded.
Results: ISB pro7'ided colllplete block ill 47 pntiellts (94%), il/coII/plete block ill 2 paticllts (4%) IlIld fi1ilcd l>Io,-k ill all£' 1;lItiCllt (2%) ill grollp P Illld WIIS exclllded off the stl/dy. There mns n 1l01l-sigllijiCtlJll (p>O.OS) dl/krcllcc /JCtll'C(,1I both approachcs as regards tI,C Mock pel/orlllnllce tilllC, t/le latl'lIcy tilllC alld dllrntioll of tlIlIIlgcsia. MCt7l1 VAS ofdiscolI~fort dllrillg 158 was S.5±1.5, W pnticllts (20.5%) attribllted their discol1lfort to IIcer/le illsertioll, 16 plltiellts (32.7%) to lIerlle stilllllili/ioll IIl1d 23 pntiel/ts (46.8%) to both with II 11011slgll~ficallt (p>0.05) d~[fcrcl1cc behl'cl!lI both grOllps. Homcuer, 4.1 patiellts (82%) accepted to rcpcat thc prol'cdl/re if I/cl!ded iI/ ti,e flltil re. Adl'erse effects were ellcoltl/tered ill 9 patiel/ts (18.4%), mit" a 11011SiSlli(iCllllt di[fCl"cllc(' bet"ll'cclI bot" approac"es.
Conclusion: II could be col/ell/ded t"al sillgle-illicC/ioll lIen·c-stiIllJllatioll techlliql/c for illtasCtlICllc block I/sillS either allterior or posterior npproach provides prolollged cOlllplete II/Otor Illld sCl/sory block wit" lIIillilllnl IIdl'('rse erfeds /llId high patiellt' slltisfactiol/ witll t1 lIoII-sigllijimllt differellce betweel/ bOtJlllpprol1l'''es IIII/killg r1l1cst"ctist prefcrcllcc IIl1d cxpcricllcc to be t"e ollly guidc for choice.