ISSN 2564-7784 | E-ISSN 2564-7040
1 Department of Anesthesiology and Reanimation, Sakarya University School of Medicine, Sakarya, Turkey  
2 Department of Anesthesiology and Reanimation, Sakarya University Training and Research Hospital, Sakarya, Turkey  
Eur J Ther ; : -

Abstract

 

Objective: The lateral sagittal infraclavicular block (LSIB) is commonly used for as a regional anesthetic technique for below the mid-humerus region of upper limb surgery. The primary aim of the study is to analyze the success rate of LSIB for orthopedic surgery.

 

Methods: We retrospectively analyzed orthopedic surgical procedures and identified patients who were applied LSIB between January 2015 and December 2015. Patient age, gender, American Society of Anesthesiologists (ASA) classification, diagnosis, surgery time, choosing drug for premedication, serious complications, and guidance type [ultrasound (US) and nerve stimulator (NS)] were recorded. Need for additional sedatives and analgesics, laryngeal mask airway (LMA) anesthesia, and general anesthesia were documented. The successful block was defined as the block sufficient to perform the surgery without any additional anesthetic and analgesic methods.

 

Results: We identified 233 patients who underwent 244 orthopedic procedures. US and NS-guided LSIB were applied in 170 (69.7%) and 74 (30.3%) procedures, respectively. The mean age, gender, ASA classification, surgery time, and the number of patients applied premedication were similar for the both guidance of LSIB. The success rates of US-guided and NS-guided LSIB were 95.3% and 83.8%, respectively and this difference was significant as statistically.

 

Conclusion: US-guided LSIB had been gradually increased in our daily practice.  Moreover, it was higher success rate than NS-guided LSIB.

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