Research Article
Year 2018,
Volume: 8 Issue: 3, 650 - 656, 30.09.2018
Abstract
References
- Reid D. Differential nerve block. Can J Anaesth. 1998;45:1039-43.
- Preston R. Walking epidurals for labour analgesia: do they benefit anyone? Can J Anaesth. 2010;57:103-6.
- Lalonde D, Martin A. Epinephrine in local anesthesia in finger and hand surgery: the case for wide-awake anesthesia. J Am Acad Orthop Surg. 2013;21:443-7.
- Lalonde D, Martin A. Tumescent local anesthesia for hand surgery: improved results, cost effectiveness, and wide-awake patient satisfaction. Arch Plast Surg. 2014;41:312-6.
- Takeda A, Ferraro LH, Rezende AH, Sadatsune EJ, Falcao LF, Tardelli MA. Minimum effective concentration of bupivacaine for axillary brachial plexus block guided by ultrasound. Braz J Anesthesiol. 2015;65:163-9.
- McNaught A, Shastri U, Carmichael N, Awad IT, Columb M, Cheung J, et al. Ultrasound reduces the minimum effective local anaesthetic volume compared with peripheral nerve stimulation for interscalene block. Br J Anaesth. 2011;106:124-30.
- Koköfer A, Nawratil J, Felder TK, Stundner O, Mader N, Gerner P. Ropivacaine 0.375% vs. 0.75% with prilocaine for intermediate cervical plexus block for carotid endarterectomy: A randomised trial. Eur J. Anaesthesiol. 2015;32:781-9.
- Lalonde DH. Wide-awake extensor indicis proprius to extensor pollicis longus tendon transfer. Hand Surg Am. 2014;39:2297-9.
- Sogbein OA, Sondekoppam RV, Bryant D, Johnston DF, Vasarhelyi EM, MacDonald S, et al. Ultrasound-Guided Motor-Sparing Knee Blocks for Postoperative Analgesia Following Total Knee Arthroplasty: A Randomized Blinded Study. J Bone Joint Surg Am. 2017;99:1274-81.
- Tulgar S, Ugutmen E. A modified technique for the application of ultrasound-guided costoclavicular brachial plexus block for elbow surgery leading to differential block. J Clin Anesth. 2018;47:65-6.
- Kii N, Yamauchi M, Takahashi K, Yamakage M, Wada T. Differential axillary nerve block for hand or forearm soft-tissue surgery. J Anesth. 2014;28:549-53.
- Missair A, Osman BM, Palte HD, Gayer S, Gutierrez J, Gebhard RE. Motor-Sparing Surgical Nerve Blocks for Upper Extremity Surgery: Significantly Less Motor Paralysis Using 15 mL versus 30 mL of Mepivacaine 1.5% for Supraclavicular Block-A Prospective Randomized Double-Blinded Study. Orthop Muscular Syst 2017;6:231.
- Marsan A, Kirdemir P, Mamo D, Casati A. Prilocaine or mepivacaine for combined sciatic-femoral nerve block in patients receiving elective knee arthroscopy. Minerva Anestesiol. 2004;70:763-9.
- Vasters FG, Eberhart LH, Koch T, Kranke P, Wulf H, Morin AM. Risk factors for prilocaine-induced methaemoglobinaemia following peripheral regional anaesthesia. Eur J Anaesthesiol. 2006;23:760-5.
- Adams V, Marley J, McCarroll C. Prilocaine induced methaemoglobinaemia in a medically compromised patient. Was this an inevitable consequence of the dose administered? Br Dent J. 2007;203:585-7.
- Janzen PR, Vipond AJ, Bush DJ, Hopkins PM. A comparison of 1% prilocaine with 0.5% ropivacaine for outpatient-based surgery under axillary brachial plexus block. Anesth Analg. 2001;93:187-91.
- Freitag M, Zbieranek K, Gottschalk A, Bubenheim M, Winter R, Tuszynski S, et al. Comparative study of different concentrations of prilocaine and ropivacaine for intraoperative axillary brachial plexus block. Eur J Anaesthesiol. 2006;23:481-6.
- Freitag M, Zbieranek K, Gottschalk A, Bubenheim M, Winter R, Tuszynski S, et al. Comparative study of different concentrations of prilocaine and ropivacaine for intraoperative axillary brachial plexus block. Eur J Anaesthesiol. 2006;23:481-6.
Ultrason Eşliğinde Diferansiyel Üst Ekstremite Bloğu Deneyimlerimiz: Retrospektif Gözlemsel Araştırma
Abstract
Amaç:
Diferansiyel blok, sinirin sensoryal ve motor aktivitenin ayrı inhibisyonu
olarak tanımlanır. Diferansiyel periferik sinir bloklarında motor aktivitenin
korunması ve sensoryal aktivitenin inhibisyonu amaçlanır. Bu sayede
intraoperatif olarak tendon ve kasların hareketlerinin incelenmesi mümkündür. Bu
çalışmada kliniğimizde gerçekleştirdiğimiz ultrason eşliğinde diferansiyel üst
ekstremite bloğu yapılan hastaların retrospektif değerlendirilmesi ve
deneyimlerimizin sunulması amaçlandı.
Gereç ve Yöntemler:
2016 ve 2018 arası 2 yıllık sürede % 0,5 prilokain ile diferansiyel
blok amaçlı ultrason eşliğinde infraklavikular brakiyal pleksus bloğu yapılan hastaların
anestezi kayıtları değerlendirildi. Hastaların demografik verileri, blok
uygulama endikasyonları, blok başlangıç zamanı, operasyon süresi, intraoperatif-postoperatif
komplikasyon varlığı incelendi. Duyusal blok, 0 ile 2 arasında, motor blok, 0
ile 5 arasında sayısal ölçek kullanılarak değerlendirildi.
Bulgular:
Çalışmaya 43 hasta (24 kadın, 19 erkek) dahil edildi. Ortalama operasyon
süresi 47,5 ± 20,71 dakikaydı. Diferansiyel brakiyal pleksus bloğu elde etmek
için ortalama 19,53±3,04 ml % 0.5'lik
prilokain kullanıldı. Medyan motor blok
skoru 3 (1-5) idi. 41 olguda motor fonksiyon yeterliydi, 2 olguda motor blok
skoru 1’di ve peroperatif motor fonksiyon yeterli değildi. Olguların hiçbirinde allerjik reaksiyon,
intraoperatif ve postoperatif komplikasyon gelişmedi.
Sonuç:
Kliniğimizde, üst ekstremite yumuşak doku operasyonlarında % 0,5
prilokain ile diferansiyel brakiyal pleksus bloğu başarıyla
gerçekleştirilmiştir. Prilokaine ait yan etkiler görülmemiştir.
References
- Reid D. Differential nerve block. Can J Anaesth. 1998;45:1039-43.
- Preston R. Walking epidurals for labour analgesia: do they benefit anyone? Can J Anaesth. 2010;57:103-6.
- Lalonde D, Martin A. Epinephrine in local anesthesia in finger and hand surgery: the case for wide-awake anesthesia. J Am Acad Orthop Surg. 2013;21:443-7.
- Lalonde D, Martin A. Tumescent local anesthesia for hand surgery: improved results, cost effectiveness, and wide-awake patient satisfaction. Arch Plast Surg. 2014;41:312-6.
- Takeda A, Ferraro LH, Rezende AH, Sadatsune EJ, Falcao LF, Tardelli MA. Minimum effective concentration of bupivacaine for axillary brachial plexus block guided by ultrasound. Braz J Anesthesiol. 2015;65:163-9.
- McNaught A, Shastri U, Carmichael N, Awad IT, Columb M, Cheung J, et al. Ultrasound reduces the minimum effective local anaesthetic volume compared with peripheral nerve stimulation for interscalene block. Br J Anaesth. 2011;106:124-30.
- Koköfer A, Nawratil J, Felder TK, Stundner O, Mader N, Gerner P. Ropivacaine 0.375% vs. 0.75% with prilocaine for intermediate cervical plexus block for carotid endarterectomy: A randomised trial. Eur J. Anaesthesiol. 2015;32:781-9.
- Lalonde DH. Wide-awake extensor indicis proprius to extensor pollicis longus tendon transfer. Hand Surg Am. 2014;39:2297-9.
- Sogbein OA, Sondekoppam RV, Bryant D, Johnston DF, Vasarhelyi EM, MacDonald S, et al. Ultrasound-Guided Motor-Sparing Knee Blocks for Postoperative Analgesia Following Total Knee Arthroplasty: A Randomized Blinded Study. J Bone Joint Surg Am. 2017;99:1274-81.
- Tulgar S, Ugutmen E. A modified technique for the application of ultrasound-guided costoclavicular brachial plexus block for elbow surgery leading to differential block. J Clin Anesth. 2018;47:65-6.
- Kii N, Yamauchi M, Takahashi K, Yamakage M, Wada T. Differential axillary nerve block for hand or forearm soft-tissue surgery. J Anesth. 2014;28:549-53.
- Missair A, Osman BM, Palte HD, Gayer S, Gutierrez J, Gebhard RE. Motor-Sparing Surgical Nerve Blocks for Upper Extremity Surgery: Significantly Less Motor Paralysis Using 15 mL versus 30 mL of Mepivacaine 1.5% for Supraclavicular Block-A Prospective Randomized Double-Blinded Study. Orthop Muscular Syst 2017;6:231.
- Marsan A, Kirdemir P, Mamo D, Casati A. Prilocaine or mepivacaine for combined sciatic-femoral nerve block in patients receiving elective knee arthroscopy. Minerva Anestesiol. 2004;70:763-9.
- Vasters FG, Eberhart LH, Koch T, Kranke P, Wulf H, Morin AM. Risk factors for prilocaine-induced methaemoglobinaemia following peripheral regional anaesthesia. Eur J Anaesthesiol. 2006;23:760-5.
- Adams V, Marley J, McCarroll C. Prilocaine induced methaemoglobinaemia in a medically compromised patient. Was this an inevitable consequence of the dose administered? Br Dent J. 2007;203:585-7.
- Janzen PR, Vipond AJ, Bush DJ, Hopkins PM. A comparison of 1% prilocaine with 0.5% ropivacaine for outpatient-based surgery under axillary brachial plexus block. Anesth Analg. 2001;93:187-91.
- Freitag M, Zbieranek K, Gottschalk A, Bubenheim M, Winter R, Tuszynski S, et al. Comparative study of different concentrations of prilocaine and ropivacaine for intraoperative axillary brachial plexus block. Eur J Anaesthesiol. 2006;23:481-6.
- Freitag M, Zbieranek K, Gottschalk A, Bubenheim M, Winter R, Tuszynski S, et al. Comparative study of different concentrations of prilocaine and ropivacaine for intraoperative axillary brachial plexus block. Eur J Anaesthesiol. 2006;23:481-6.
There are 18 citations in total.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Articles |
| Authors | |
| Publication Date | September 30, 2018 |
| Submission Date | May 24, 2018 |
| Published in Issue | Year 2018 Volume: 8 Issue: 3 |
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