지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 18 - 22 (5page)
이용수
초록· 키워드
오류제보하기
Background: The interscalene brachial plexus block is widely used for pain control and anesthetic purposes during shoulder arthroscopic surgeries and surgeries of the upper extremities. However, it is known that interscalene brachial plexus block is not appropriate for upper limb surgeries because it does not affect the lower trunk (C8−T1, ulnar nerve) of the brachial plexus. Methods: A low approach, ultrasound-guided interscalene brachial plexus block (LISB) was performed on twenty-eight patients undergoing surgery of the upper extremities. The patients were assessed five minutes and fifteen minutes after the block for the degree of block in each nerve and muscle as well as for any complications.Results: At five minutes and fifteen minutes after the performance of the block, the degree of the block in the ulnar nerve was found to be 2.8 ± 2.6 and 1.1 ± 1.8, respectively, based on a ten-point scale. Motor block occurred in the median nerve after fifteen minutes in 26 of the 28 patients (92.8%), and in all of the other three nerves in all 28 patients. None of the patients received additional analgesics, and none experienced complications.Conclusions: The present study confirmed the achievement of an appropriate sensory and motor block in the upper extremities, including the ulnar nerve, fifteen minutes after LISB, with no complications. (Korean J Pain 2016; 29: 18-22)
목차
등록된 정보가 없습니다.
참고문헌 (12)
참고문헌 신청
Neal JM / 2009 / Upper extremity regional anesthesia:essentials of our current understanding, 2008 / Reg Anesth Pain Med 34:134~170
Kim JH / 2011 / A low approach to interscalene brachial plexus block results in more distal spread of sensory-motor coverage compared to the conventional approach / Anesth Analg 112:987~989
Liu FC / 2005 / Efficacy of ultrasound-guided axillary brachial plexus block : a comparative study with nerve stimulator-guided method / Chang Gung Med J 28:396~402
Burckett-St Laurent D / 2014 / Refining the ultrasound-guided interscalene brachial plexus block : the superior trunk approach / Can J Anaesth 61:1098~1102
Gadsden JC / 2009 / Low interscalene block provides reliable anesthesia for surgery at or about the elbow / J Clin Anesth 21:98~102
Kim JH / 2011 / A low approach to interscalene brachial plexus block results in more distal spread of sensory-motor coverage compared to the conventional approach / Anesth Analg 112:987~989
Liu FC / 2005 / Efficacy of ultrasound-guided axillary brachial plexus block : a comparative study with nerve stimulator-guided method / Chang Gung Med J 28:396~402
Burckett-St Laurent D / 2014 / Refining the ultrasound-guided interscalene brachial plexus block : the superior trunk approach / Can J Anaesth 61:1098~1102
Gadsden JC / 2009 / Low interscalene block provides reliable anesthesia for surgery at or about the elbow / J Clin Anesth 21:98~102
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