A prospective, randomized comparison between double-, triple-, and quadruple-injection ultrasound-guided axillary brachial plexus block

Regional Anesthesia and Pain Medicine
De Q H TranRoderick J Finlayson

Abstract

This prospective, randomized, observer-blinded study compared double-, triple-, and quadruple-injection ultrasound (US)-guided axillary brachial plexus block (AXB) for upper-extremity surgery. One hundred twenty patients were randomly allocated to receive a double- (n = 40), triple- (n = 40), or quadruple-injection (n = 40) US-guided AXB. The local anesthetic agent (lidocaine 1.5% with epinephrine 5 μg/mL) and total volume (35 mL) were identical in all subjects. For all 3 groups, the musculocutaneous nerve was identified and anesthetized first. Subsequently, a perivascular technique was performed. Lidocaine was deposited at the 6-o'clock position of the axillary artery for the 2-injection group. For the 3- and 4-injection groups, injections were carried out at the 12-/6-o'clock and 2-/10-/6-o'clock positions, respectively. During the performance of the block, the performance time, number of needle passes, and complications (vascular puncture, paresthesia) were recorded. Subsequently, a blinded observer assessed the onset time, block-related pain scores, and success rate (surgical anesthesia). The main outcome variable was the total anesthesia-related time (sum of performance and onset times). No differences were observed among ...Continue Reading

Associated Clinical Trials

References

Apr 27, 2001·Anesthesia and Analgesia·G RetzlW Mauritz
Jan 2, 2007·Anesthesiology·Laurent G GlanceAndrew W Dick
Mar 3, 2007·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Vincent W S ChanSherif Abbas
Aug 2, 2007·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Quang Hieu De TranRoderick J Finlayson
Mar 14, 2009·Regional Anesthesia and Pain Medicine·Joseph M NealQuinn H Hogan
Jul 4, 2009·Regional Anesthesia and Pain Medicine·De Quang Hieu TranRoderick J Finlayson
Jan 29, 2011·Regional Anesthesia and Pain Medicine·De Q H TranRoderick J Finlayson

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Citations

Jun 5, 2012·Regional Anesthesia and Pain Medicine·Francisca BernucciDe Q H Tran
Aug 24, 2012·Regional Anesthesia and Pain Medicine·Brian Daniel Sites, Joseph M Neal
Nov 14, 2012·Regional Anesthesia and Pain Medicine·Andrea P GonzálezDe Q H Tran
Dec 25, 2012·Regional Anesthesia and Pain Medicine·Christophe Aveline
Dec 25, 2012·Regional Anesthesia and Pain Medicine·De Q H TranRoderick J Finlayson
Feb 21, 2013·Regional Anesthesia and Pain Medicine·De Q H TranRoderick J Finlayson
Mar 19, 2014·International Journal of Obstetric Anesthesia·M Patzkowski, J Scheiner
Aug 13, 2014·Anesthesiology Clinics·James FlahertyRyan Derby
Dec 3, 2014·Anesthesiology Clinics·Francis V Salinas, Neil A Hanson
Nov 25, 2014·International Journal of Health Care Quality Assurance·Michael J BrownThomas R Rohleder
Nov 8, 2014·Regional Anesthesia and Pain Medicine·Stephen Choi, Colin J L McCartney
Nov 21, 2015·Journal of Clinical Monitoring and Computing·Trygve KjelstrupPer K Hol
Sep 4, 2015·Journal of Anaesthesiology, Clinical Pharmacology·Herman SehmbiKi Jinn Chin
Jun 28, 2016·The American Journal of Emergency Medicine·Erden Erol ÜnlüerUğur Özgürbüz
Sep 25, 2016·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Julian AlisteDe Q H Tran
Jun 28, 2017·Revista brasileira de anestesiologia·Leonardo Henirque Cunha FerraroLuiz Fernando Dos Reis Falcão
Oct 21, 2018·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Sara GiliXavier Sala-Blanch
Aug 11, 2017·Regional Anesthesia and Pain Medicine·De Q TranJoseph M Neal
Jul 23, 2014·European Journal of Anaesthesiology·Trygve KjelstrupØivind Klaastad
Aug 28, 2019·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Ban C H TsuiRakesh V Sondekoppam
Jul 4, 2013·Current Opinion in Anaesthesiology·Emily LinAdmir Hadzic
Jun 2, 2018·Clinical Drug Investigation·Zahid HussainSyed Tabish Razi Zaidi

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