Diabetes mellitus, independent of body mass index, is associated with a "higher success" rate for supraclavicular brachial plexus blocks

Regional Anesthesia and Pain Medicine
Ralf E GebhardBrian A Williams

Abstract

The prevalence of obesity and diabetes mellitus continues to rise in industrialized countries. The impact of diabetes on the practice of peripheral nerve block anesthesia, however, has not been fully elucidated. The authors retrospectively evaluated the influence of diabetes, body mass index (BMI), age, and sex on the success of supraclavicular block (SCB) placed with a landmark-based paresthesia technique. The anesthetic records of 1858 consecutive patients who received an SCB were analyzed. Block success was documented solely on the day of surgery, without additional follow-up. Patients were categorized as diabetic (group D, n = 262) or nondiabetic (group ND, n = 1596). Block "success rate" (ie, general anesthesia not required to produce surgical conditions) was analyzed using multiple regression (multivariable linear and logistic) to assess the associations of diabetes and/or body mass index on successful surgical anesthesia. Patients in group D were more likely (odds ratio, 3.3) to have a "successful" SCB for surgical anesthesia than were patients in group ND (P < 0.0001). Body mass index, age, and sex were not associated predictors of SCB "success." We speculate that the "higher success" of SCB in patients with diabetes ma...Continue Reading

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Citations

Jan 26, 2013·British Journal of Anaesthesia·P CuvillonO Langeron
Mar 23, 2010·Regional Anesthesia and Pain Medicine·Joseph M Neal
Jul 9, 2010·Regional Anesthesia and Pain Medicine·Jeffrey S KroinJames M Kerns
Mar 21, 2012·Regional Anesthesia and Pain Medicine·Patrick J TigheAzra Bihorac
Feb 7, 2012·Annales Françaises D'anesthèsie Et De Rèanimation·R Fuzier
Mar 24, 2016·Journal of Anaesthesiology, Clinical Pharmacology·Francis WongAlparslan Turan
Oct 1, 2011·International Anesthesiology Clinics·Philipp LirkQuinn Hogan
Jun 27, 2015·Regional Anesthesia and Pain Medicine·Sandra L KoppJames R Hebl
Jul 19, 2017·Current Opinion in Anaesthesiology·Werner Ten HoopePhilipp Lirk
Jan 12, 2021·Anaesthesia·N Levy, P Lirk

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