International Journal of Medical Sciences

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18 October 2017

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Int J Med Sci 2013; 10(9):1108-1112. doi:10.7150/ijms.6598

Research Paper

The Importance of Needle Echogenity in Ultrasound Guided Axillary Brachial Plexus Block: A Randomized Controlled Clinical Study

Cevdet DUGER1✉, Ahmet Cemil ISBIR1, Kenan KAYGUSUZ1, Iclal OZDEMIR KOL1, Sinan GURSOY1, Hayati OZTURK2, Caner MIMAROĞLU1

1. Department of Anesthesiology, Cumhuriyet University, School of Medicine, Sivas, TURKEY
2. Department of Orthopedics, Cumhuriyet University, School of Medicine, Sivas, TURKEY

Abstract

Objective: In this study we aimed to compare the echogenic needles and the nerve stimulation addition to non-echogenic needles in ultrasound guided axillary brachial plexus block for upper extremity surgery.

Methods: 90 patients were enrolled to the study. The patients were allocated into three groups randomly: Group E (n=30): ultrasound guided axillary block using echogenic needle, Group N (n=30): ultrasound guided axillary block using non-echogenic needle, Group NS (n=30): ultrasound guided axillary block using non-echogenic needle with nerve stimulator assistance. Duration of block procedure, mean arterial pressure, heart rate, pulse-oximetry, onset time of sensory and motor block, duration of sensory and motor block, time to first analgesic use, total need for analgesics, postoperative pain scores, patient and surgeon satisfaction scores were recorded.

Results: Duration of block procedure values were lower in group E and NS, sensory and motor block durations, were significantly lower in group N. Sensorial and motor block onset time values were found lower in group NS but higher in group N. Patient and surgeon satisfaction scores were found lower in group N.

Conclusion: We conclude that ultrasound guided axillary block may be performed successfully using both echogenic needles and nerve stimulation assisted non-echogenic needles.

Keywords: ultrasound, nerve stimulator, echogenity, needle, axillary nerve blockade

This is an open access article distributed under the terms of the Creative Commons Attribution (CC BY-NC) License. See http://ivyspring.com/terms for full terms and conditions.
How to cite this article:
DUGER C, ISBIR AC, KAYGUSUZ K, KOL IO, GURSOY S, OZTURK H, MIMAROĞLU C. The Importance of Needle Echogenity in Ultrasound Guided Axillary Brachial Plexus Block: A Randomized Controlled Clinical Study. Int J Med Sci 2013; 10(9):1108-1112. doi:10.7150/ijms.6598. Available from http://www.medsci.org/v10p1108.htm