Volume 19 Issue 11
Nov.  2021
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(11): 1840-1842, 1968
GAO Jing, BIAN Bu-rong, XUE Li-jun, GAO Yan-dong, GUO Yu-feng, LUO Rui. New type of nerve block needle in supraclavicular brachial plexus block[J]. Chinese Journal of General Practice, 2021, 19(11): 1840-1842, 1968. doi: 10.16766/j.cnki.issn.1674-4152.002180
Citation: GAO Jing, BIAN Bu-rong, XUE Li-jun, GAO Yan-dong, GUO Yu-feng, LUO Rui. New type of nerve block needle in supraclavicular brachial plexus block[J]. Chinese Journal of General Practice, 2021, 19(11): 1840-1842, 1968. doi: 10.16766/j.cnki.issn.1674-4152.002180
shu

New type of nerve block needle in supraclavicular brachial plexus block

doi: 10.16766/j.cnki.issn.1674-4152.002180

  • Department of Anesthesiology, the Second Affiliated Hospital of Yan'an University, the First Hospital of Yulin, Yulin, Shaanxi 719000, China

Funds:

 2019JQ-983

 2019-185-38

  • Received Date: 2020-06-21
    Abstract
  •   Objective  To explore the advantages of a new type of nerve block needle in supraclavicular brachial plexus block and postoperative analgesia.   Methods  A total of 60 patients from the Second Affiliated Hospital of Yan'an University, the First Hospital of Yulin, undergoing elective radial fracture surgery, ASAⅠ- Ⅲ were randomly assigned in two different groups: the control group using common nerve block needles (group C, n=30) and the new nerve block needle group (group N, n=30). The outcome measurements included anaesthesia operation time, the success rate of catheterisation, the incidence of local anaesthetic toxicity, the amount of other analgesic drugs used, the postoperative analgesic effect of PCA pump, the incidence of nausea and vomiting, perioperative nerve damage, infection of the puncture site and patient satisfaction.   Results  Under ultrasonic guidance, the anaesthesia operation time were (9.3±1.6) min in the group C and (6.2±1.1) min in the group N, the difference was significant between the two groups (P < 0.001). No tube was placed in the control group, and intravenous analgesia pump was connected after operation. The VAS score showed a statistically significant difference at 6, 12, 24 and 48 h after surgery. At post-operation follow-up, a significant difference was observed in the incidence of nausea and vomiting between the two groups (P < 0.001). The scores of the patient satisfaction survey 48 h after the operation were (8.2±0.3) in the group C and (9.5±0.5) in the group N (P < 0.001). Infection of the puncture site and incidence of local anaesthetic toxicity, nerve damage and respiratory depression were not observed in both groups. All patients did not receive any other analgesics.   Conclusion  The new type of nerve block needle for supraclavicular brachial plexus block is confirmed to be a more efficient and safer anaesthesia method that has better postoperative analgesic effect and patient satisfaction, which provides a reference for clinical practice.

     

    • FullText(HTML)
  • loading
    • References(20)
  • [1]
    SANG I K, KEE Y H, IN S O. Preemptive multimodal analgesia for postoperative pain management after lumbar fusion surgery: A randomized controlled trial[J]. Eur Spine J, 2016, 25(5): 1614-1619. doi: 10.1007/s00586-015-4216-3
    [2]
    ANAIR B, ALAN D K, OLLE L, et al. Essential elements of multimodal analgesia in enhanced recovery after surgery (ERAS) guidelines[J]. Anesthesiol Clin, 2017, 35(2): e115. doi: 10.1016/j.anclin.2017.01.018
    [3]
    庞希友. B超引导腹横肌平面阻滞对腹腔镜直肠癌根治术老年患者术后镇痛效果及免疫功能的影响[J]. 中华全科医学, 2017, 15(7): 1159-1162. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201707021.htm
    [4]
    DAS B, LAKSHMEGOWDA M, SHARMA M, et al. Supraclavicular brachial plexus block using ropivacaine alone or combined with dexmedetomidine for upper limb surgery: A prospective, randomized, double-blinded, comparative study[J]. Rev Esp Anestesiol Reanim, 2016, 63(3): 135-140. doi: 10.1016/j.redar.2015.04.012
    [5]
    申治国, 薛建军, 贺隶国, 等. 超声引导下锁骨上入路臂丛神经阻滞麻醉效果观察[J]. 海南医学, 2016, 27(15): 2485-2487. doi: 10.3969/j.issn.1003-6350.2016.15.025
    [6]
    YU B, HE M, CAI G Y, et al. Ultrasound-guided continuous femoral nerve block vs continuous fascia iliaca compartment block for hip replacement in the elderly: A randomized controlled clinical trial (CONSORT)[J]. Medicine, 2016, 95(42): 50-56. http://pubmedcentralcanada.ca/pmcc/articles/PMC5079317/
    [7]
    陈书萍, 刘期会, 徐茜. 罗哌卡因复合舒芬太尼在连续臂丛神经阻滞术后镇痛中的应用[J]. 海南医学, 2017, 28(10): 1695-1696. doi: 10.3969/j.issn.1003-6350.2017.10.050
    [8]
    ANDREA C, GUIDO F, ZBIGNIEW K-N, et al. Using stimulating catheters for continuous sciatic nerve block shortens onset time of surgical block and minimizes postoperative consumption of pain medication after halux valgus repair as compared with conventional nonstimulating catheters[J]. Anesth Analg, 2016, 101(4): 1192-1197. http://www.ncbi.nlm.nih.gov/pubmed/16192543/
    [9]
    DAOUD A K, MANDLER T, GAGLIARDI A G, et al. Combined femoral-sciatic nerve block is superior to continuous femoral nerve block during anterior cruciate ligament reconstruction in the pediatric population[J]. Iowa Orthop J, 2018, 38(3): 101-106. http://www.ncbi.nlm.nih.gov/pubmed/30104931
    [10]
    MEGALLA S. Adding dexmedetomidine to bupivacaine-fentanyl mixture in high-risk elderly patients undergoing orthopedic surgery: A randomized, double-blind, controlled study[J]. Res Opin Anesth Intens Care, 2018, 5(3): 205-210. doi: 10.4103/roaic.roaic_39_17
    [11]
    NIE Y, TU W, SHEN X, et al. Dexmedetomidine added to sufentanil patient-controlled intravenous analgesia relieves the postoperative pain after cesarean delivery: A prospective randomized controlled multicenter study[J]. Entific Reports, 2018, 8(1): 9952-9959. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6028483/
    [12]
    ZHANG Q, CHENG F, WAN J F. Effects of dexmedetomidine combined with ropivacaine in fascia iliaca compartment block for postoperative analgesia after elderly patient femoral surgery[J]. J Med Theo Prac, 2017, 5(4): 313-318. http://en.cnki.com.cn/Article_en/CJFDTOTAL-YXLL201709006.htm
    [13]
    杨玲, 徐燕, 姚振霞, 等. 医护联合管理模式在预防骨科大手术老年患者深静脉血栓形成中的应用[J]. 中西医结合护理(中英文), 2018, 4(3): 108-110. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXHL201803032.htm
    [14]
    陆蓉, 马国平. 不同麻醉方案对骨科老年患者术后深静脉血栓发生率的影响[J]. 实用临床医药杂志, 2017, 21(11): 208-209. doi: 10.7619/jcmp.201711075
    [15]
    WIOLETTA A, SEBASTIAN D, ANDRZEH B. Identification and comparison of barriers to assessing and combating acute and postoperative pain in elderly patients in surgical wards of polish hospitals: A multicenter study[J]. Adv Clin Exp Med, 2016, 25(1): 135-144. doi: 10.17219/acem/34698
    [16]
    ZHANG Y H, ZHANG L, LU M. Acupuncture combined with femoral nerve block for postoperative analgesia after total knee arthroplasty and functional rehabilitation: A randomized controlled trial[J]. Chi Acupunc Moxibu, 2018, 38(3): 251-255. http://europepmc.org/abstract/MED/29701041
    [17]
    DAS B, LAKSNMEGOWDA M, SHARMMA M, et al. Supraclavicular brachial plexus block using ropivacaine alone or combined with dexmedetomidine for upper limb surgery: A prospective, randomized, double-blinded, comparative study[J]. Rev Esp Anestesiol Reanim, 2016, 63(3): 135-140. doi: 10.1016/j.redar.2015.04.012
    [18]
    SINGH A P, MANINDRA M, GUPTA R, et al. Dexmedetomidine as an adjuvant to levobupivacaine in supraclavicular brachial plexus block: A novel anesthetic approach[J]. Anesth Essays Res, 2016, 10(3): 414-419. doi: 10.4103/0259-1162.176404
    [19]
    陆小龙, 梅斌, 陈士寿, 等. 超声引导下腰骶丛神经阻滞联合全麻在高龄患者髋关节置换术的临床应用[J]. 临床麻醉学杂志, 2016, 32(3): 237-240. https://www.cnki.com.cn/Article/CJFDTOTAL-LCMZ201603008.htm
    [20]
    楼洁, 陈彩艳, 沈文生. 超声引导下神经阻滞联合全身麻醉在下肢骨折手术中的应用[J]. 医学研究杂志, 2017, 46(3): 174-177. doi: 10.3877/cma.j.issn.1674-1366.2017.03.008
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(2)  / Tables(2)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (315) PDF downloads(9) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return