JOURNAL HOME CME HOME THIS MONTH PAST ISSUES ETOC COLLECTIONS
AUTHORS REVIEWERS EDITORIAL BOARD FEEDBACK RSS HELP
A&A International Anesthesia Research Society
QUICK SEARCH:   [advanced]


     

Anesth Analg 2009; 109:668-672
© 2009 International Anesthesia Research Society
doi: 10.1213/ane.0b013e3181aa308f
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a colleague
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by Desgagnés, M.-C.
Right arrow Articles by Turgeon, A. F.
PubMed
Right arrow Articles by Desgagnés, M.-C.
Right arrow Articles by Turgeon, A. F.
Related Collections
Right arrow Anesthetic Techniques
Right arrow Regional Anesthesia
Right arrow Technology

ANALGESIA

A Comparison of a Single or Triple Injection Technique for Ultrasound-Guided Infraclavicular Block: A Prospective Randomized Controlled Study

Marie-Christine Desgagnés, MD, Simon Lévesque, MD, Nicolas Dion, MD, Marie-Josée Nadeau, MD, Dany Coté, MD, Jean Brassard, MD, Pierre C. Nicole, MD, and Alexis F. Turgeon, MD, MSc (Epid)

From the Département d’Anesthésie-Réanimation and the Centre de Recherche du CHA, Unité de Recherche en Traumatologie-Urgence-Soins Intensifs, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l’Enfant-Jésus, Université Laval, Québec, Canada.

Address correspondence and reprint requests to Simon Levesque, MD, Département d’Anesthésie-Réanimation and the Centre de Recherche du CHA, Unité de Recherche en Traumatologie-Urgence-Soins Intensifs, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l’Enfant-Jésus, Université Laval, Québec, Canada. Address e-mail to simlevesque{at}hotmail.com.

Abstract

BACKGROUND: Good success rates have been reported with ultrasound-guided infraclavicular block using one or multiple injections of local anesthetic. We hypothesized that a separate injection of local anesthetics on each cord enhances the onset of complete sensory block. We designed this prospective randomized study to compare the rate of complete sensory block using one or three injections of local anesthetic.

METHODS: Patients scheduled for hand, wrist, or elbow surgery were included in this study. All blocks were performed under ultrasound guidance. In Group S (single injection), 30 mL of mepivacaine 1.5% was injected posterior to the axillary artery. In Group T (triple injections), 10 mL of mepivacaine 1.5% was injected on the posterior, medial, and lateral aspects of the axillary artery. Sensory block was evaluated every 3 min up to 30 min. The primary end point was the rate of complete sensory block at 15 min.

RESULTS: Forty-nine and 51 patients were randomized in Groups S and T, respectively. The rate of complete sensory block was comparable at 15 min (Group S: 84%, Group T: 78%, P = 0.61) and at each time interval up to 30 min. There was no statistically significant difference in the rate of complications between the two groups.

CONCLUSIONS: The success rate and the onset of complete sensory block after ultrasound-guided infraclavicular block are not enhanced by a triple injection of local anesthetic compared with a single injection posterior to the axillary artery.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins and Stanford University Libraries' HighWire Press®. Copyright 2009 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2009 by the International Anesthesia Research Society.