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Ultrasound guided supraclavicular block versus combined infraclavicular and Suprascapular block: A randomized controlled trial

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Original Article

Author Details : Tiajem Jamir, Deepak Singla*, Praveen Talawar, Vivek Singh, Mishu Mangla

Volume : 11, Issue : 3, Year : 2024

Article Page : 302-308

https://doi.org/10.18231/j.ijca.2024.059

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Abstract

Background: The infraclavicular block (ICB) can avoid some of the side effects of the supraclavicular block (SCB) like hemi-diaphragmatic palsy. This study aimed to analyze the comparative efficacy of supraclavicular block versus combined infraclavicular block and suprascapular block.
Materials and Methods: Patients undergoing upper limb surgery under general anaesthesia were randomized into group S (to receive supraclavicular brachial plexus block) and group I (to receive infraclavicular brachial plexus block and suprascapular nerve block). Onset times and the duration of both sensory and motor block was noted in both the groups. Postoperative pain as assessed by NRS score and total fentanyl requirement was noted for 24 hours.
Results: The group S showed a significantly faster onset of both sensory (8.47±3.12) vs. 13.75±4.69; p<0> Conclusions: For the patients undergoing upper limb surgeries, the use of ICB+SSB block as compared to the SCB block resulted in increased duration of sensory block; however, the fentanyl consumption was not significantly reduced.
 

Keywords: Brachial plexus block, Regional anesthesia, Ultrasonography, Diaphragm, Upper extremity, Respiratory paralysis.

How to cite : Jamir T, Singla D, Talawar P, Singh V, Mangla M, Ultrasound guided supraclavicular block versus combined infraclavicular and Suprascapular block: A randomized controlled trial. Indian J Clin Anaesth 2024;11(3):302-308

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