Comparison of the ulnar nerve blockade between intertruncal and corner pocket approaches for supraclavicular block: a randomized controlled trial

Background The corner pocket (CP) approach for supraclavicular block (SCB) prevents ulnar nerve (UN) sparing due to needle proximity to the lower trunk. Improved ultrasound resolution has suggested that the intertruncal (IT) approach is a suitable alternative method. We compared efficiency of these...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Yumin Jo, Jiho Park, Chahyun Oh, Woosuk Chung, Seunghyun Song, Jieun Lee, Hansol Kang, Youngkwon Ko, Yoon-Hee Kim, Boohwi Hong
Formato:	article
Lenguaje:	EN
Publicado:	Korean Society of Anesthesiologists 2021
Materias:	brachial plexus block nerve block orthopedics subclavian artery ultrasonography ulnar nerve Anesthesiology RD78.3-87.3
Acceso en línea:	https://doaj.org/article/36213608a5194c81a6128aff3d845853
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:36213608a5194c81a6128aff3d845853
record_format	dspace
spelling	oai:doaj.org-article:36213608a5194c81a6128aff3d8458532021-11-30T23:47:49ZComparison of the ulnar nerve blockade between intertruncal and corner pocket approaches for supraclavicular block: a randomized controlled trial2005-64192005-756310.4097/kja.21028https://doaj.org/article/36213608a5194c81a6128aff3d8458532021-12-01T00:00:00Zhttp://ekja.org/upload/pdf/kja-21028.pdfhttps://doaj.org/toc/2005-6419https://doaj.org/toc/2005-7563Background The corner pocket (CP) approach for supraclavicular block (SCB) prevents ulnar nerve (UN) sparing due to needle proximity to the lower trunk. Improved ultrasound resolution has suggested that the intertruncal (IT) approach is a suitable alternative method. We compared efficiency of these two approaches on the UN blockade. Methods Sixty patients were randomized to undergo SCB using the ultrasound-guided CP or IT approach. For lower trunk blockade, 10 ml of local anesthetic agents (1 : 1 mixture of 0.75% ropivacaine and 1% lidocaine) were injected in the CP (CP approach) or between the lower and middle trunks (IT approach). Additional 15 ml was injected identically to block the middle and upper trunks in both groups. Sensory and motor blockade was evaluated after intervention. Results Complete sensory blockade (75.9% [22/29] vs. 43.3% [13/30], P = 0.023) and complete motor blockade (82.8% [24/29] vs. 50.0% [15/30], P = 0.017) of the UN at 15 min after SCB were significantly more frequent in the IT than in the CP group. Sensory block onset time of the UN was significantly shorter in the IT compared to the CP group (15.0 [10.0, 15.0] min vs. 20.0 [15.0, 20.0] min, P = 0.012). Conclusions The IT approach provided a more rapid onset of UN blockade than the CP approach. These results suggest that the IT approach is a suitable alternative to the CP approach and can provide faster surgical readiness.Yumin JoJiho ParkChahyun OhWoosuk ChungSeunghyun SongJieun LeeHansol KangYoungkwon KoYoon-Hee KimBoohwi HongKorean Society of Anesthesiologistsarticlebrachial plexus blocknerve blockorthopedicssubclavian arteryultrasonographyulnar nerveAnesthesiologyRD78.3-87.3ENKorean Journal of Anesthesiology, Vol 74, Iss 6, Pp 522-530 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	brachial plexus block nerve block orthopedics subclavian artery ultrasonography ulnar nerve Anesthesiology RD78.3-87.3
spellingShingle	brachial plexus block nerve block orthopedics subclavian artery ultrasonography ulnar nerve Anesthesiology RD78.3-87.3 Yumin Jo Jiho Park Chahyun Oh Woosuk Chung Seunghyun Song Jieun Lee Hansol Kang Youngkwon Ko Yoon-Hee Kim Boohwi Hong Comparison of the ulnar nerve blockade between intertruncal and corner pocket approaches for supraclavicular block: a randomized controlled trial
description	Background The corner pocket (CP) approach for supraclavicular block (SCB) prevents ulnar nerve (UN) sparing due to needle proximity to the lower trunk. Improved ultrasound resolution has suggested that the intertruncal (IT) approach is a suitable alternative method. We compared efficiency of these two approaches on the UN blockade. Methods Sixty patients were randomized to undergo SCB using the ultrasound-guided CP or IT approach. For lower trunk blockade, 10 ml of local anesthetic agents (1 : 1 mixture of 0.75% ropivacaine and 1% lidocaine) were injected in the CP (CP approach) or between the lower and middle trunks (IT approach). Additional 15 ml was injected identically to block the middle and upper trunks in both groups. Sensory and motor blockade was evaluated after intervention. Results Complete sensory blockade (75.9% [22/29] vs. 43.3% [13/30], P = 0.023) and complete motor blockade (82.8% [24/29] vs. 50.0% [15/30], P = 0.017) of the UN at 15 min after SCB were significantly more frequent in the IT than in the CP group. Sensory block onset time of the UN was significantly shorter in the IT compared to the CP group (15.0 [10.0, 15.0] min vs. 20.0 [15.0, 20.0] min, P = 0.012). Conclusions The IT approach provided a more rapid onset of UN blockade than the CP approach. These results suggest that the IT approach is a suitable alternative to the CP approach and can provide faster surgical readiness.
format	article
author	Yumin Jo Jiho Park Chahyun Oh Woosuk Chung Seunghyun Song Jieun Lee Hansol Kang Youngkwon Ko Yoon-Hee Kim Boohwi Hong
author_facet	Yumin Jo Jiho Park Chahyun Oh Woosuk Chung Seunghyun Song Jieun Lee Hansol Kang Youngkwon Ko Yoon-Hee Kim Boohwi Hong
author_sort	Yumin Jo
title	Comparison of the ulnar nerve blockade between intertruncal and corner pocket approaches for supraclavicular block: a randomized controlled trial
title_short	Comparison of the ulnar nerve blockade between intertruncal and corner pocket approaches for supraclavicular block: a randomized controlled trial
title_full	Comparison of the ulnar nerve blockade between intertruncal and corner pocket approaches for supraclavicular block: a randomized controlled trial
title_fullStr	Comparison of the ulnar nerve blockade between intertruncal and corner pocket approaches for supraclavicular block: a randomized controlled trial
title_full_unstemmed	Comparison of the ulnar nerve blockade between intertruncal and corner pocket approaches for supraclavicular block: a randomized controlled trial
title_sort	comparison of the ulnar nerve blockade between intertruncal and corner pocket approaches for supraclavicular block: a randomized controlled trial
publisher	Korean Society of Anesthesiologists
publishDate	2021
url	https://doaj.org/article/36213608a5194c81a6128aff3d845853
work_keys_str_mv	AT yuminjo comparisonoftheulnarnerveblockadebetweenintertruncalandcornerpocketapproachesforsupraclavicularblockarandomizedcontrolledtrial AT jihopark comparisonoftheulnarnerveblockadebetweenintertruncalandcornerpocketapproachesforsupraclavicularblockarandomizedcontrolledtrial AT chahyunoh comparisonoftheulnarnerveblockadebetweenintertruncalandcornerpocketapproachesforsupraclavicularblockarandomizedcontrolledtrial AT woosukchung comparisonoftheulnarnerveblockadebetweenintertruncalandcornerpocketapproachesforsupraclavicularblockarandomizedcontrolledtrial AT seunghyunsong comparisonoftheulnarnerveblockadebetweenintertruncalandcornerpocketapproachesforsupraclavicularblockarandomizedcontrolledtrial AT jieunlee comparisonoftheulnarnerveblockadebetweenintertruncalandcornerpocketapproachesforsupraclavicularblockarandomizedcontrolledtrial AT hansolkang comparisonoftheulnarnerveblockadebetweenintertruncalandcornerpocketapproachesforsupraclavicularblockarandomizedcontrolledtrial AT youngkwonko comparisonoftheulnarnerveblockadebetweenintertruncalandcornerpocketapproachesforsupraclavicularblockarandomizedcontrolledtrial AT yoonheekim comparisonoftheulnarnerveblockadebetweenintertruncalandcornerpocketapproachesforsupraclavicularblockarandomizedcontrolledtrial AT boohwihong comparisonoftheulnarnerveblockadebetweenintertruncalandcornerpocketapproachesforsupraclavicularblockarandomizedcontrolledtrial
_version_	1718406194216828928

Comparison of the ulnar nerve blockade between intertruncal and corner pocket approaches for supraclavicular block: a randomized controlled trial

Ejemplares similares