Our experience on brachial plexus blockade in upper extremity surgery Feyzi Çelik 1, Adnan Tüfek 1, Zeynep B. Yıldırım 1, Orhan Tokgöz 1, Haktan Karaman 1, Celil Alemdar 2, Taner Çiftçi 3, Ömer Uslukaya 3, Gönül Ölmez Kavak 1 1 - Dicle Üniversitesi Tıp Fakültesi Anesteziyoloji ve Reanimasyon AD, Diyarbakır, Türkiye 2 - Kurtalan Devlet Hastanesi Ortopedi ve Travmatoloji Kliniği, Siirt, Türkiye 3 - Batman Bölge Eğitim ve Araştırma Hastanesi Anesteziyoloji kliniği, Batman, Türkiye
Dicle Med J 2012; 39(1):31-34 ICID: 986814
Article type: Original article
IC™ Value: 3.00
Abstract provided by Publisher
Objective: Peripheral nerve blocks are usually used either
alone or along with general anesthesia for postoperative
analgesia. We also aimed to present the results and
Materials and methods: This retrospective study was
conducted to scan the files of patients who underwent
orthopedic upper extremity surgery with peripheral nerve
block between September 2009 and October 2010. After
ethics committee approval was obtained, 114 patients who
were ASA physical status I-III, aged 18-70, performed upper
extremity surgery in the Orthopedics and Traumatology
Clinic were included to study. Patients’ demographic
data, clinical diagnoses, premedication status, peripheral
block type, local anesthetic dose, stimuplex needle types,
hemodynamic parameters at the during surgery, the first
postoperative analgesic requirements, complications and
patient satisfaction were recorded.
Results: Demographic data were similar to each other.
Brachial plexus block was commonly performed for the
forearm surgery. Infraclavicular block was performed the
most frequently to patients. As the classical methods in
the supine position were preferred in 98.2% of patients,
Stimuplex A needle (B. Braun, Melsungen AG, Germany)
have been used for blockage in 80.7% of patients. Also, in
54.4% of patients, 30 ml of local anesthetic solution composed
of bupivacaine + prilocaine was used for blockade.
Blocks applied to patients had provided adequate anesthesia.
Conclusion: Since the brachial plexus blockade guided
peripheral nerve stimulator for upper extremity surgery
provide adequate depth of anesthesia and analgesia, it
may be a good alternative to general anesthesia because
of unwanted side effects.