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首页> 外文期刊>Journal of Clinical Medicine Research >The Extent of Blockade Following Axillary and Infraclavicular Approaches of Brachial Plexus Block in Uremic Patients
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The Extent of Blockade Following Axillary and Infraclavicular Approaches of Brachial Plexus Block in Uremic Patients

机译：尿毒症患者臂丛神经丛腋窝和锁骨下入路后的阻塞程度

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Background: This study was aimed to compare the axillary approach performed through multiple injection method and vertical infraclavicular approach performed through single injection method in terms of the sensory and motor block onset, quality, and extent of blocks of brachial plexus in uremic patients who underwent arteriovenous fistula surgery.?Methods: Forty patients scheduled for creation of arteriovenous fistula with axillary brachial plexus block (group AX, n = 20) or infraclavicular brachial plexus block (IC group, n = 20) were examined. The median, radial, ulnar, and musculocutaneous nerves were selectively localized by nerve stimulation. The volume of the local anesthetics was calculated based on the height of each patient, and the volume determined was prepared by mixing 2% lidocaine and 0.5% bupivacaine in equal proportions. Sensory and motor block were assessed at 3, 6, 9, 12, 15, 18, and 30th min and their durations were measured.?Results: While the adequate sensory and motor block rate with axillary approach was 100% in musculocutaneous, median, radial, ulnar and medial antebrachial cutaneous nerves, it was 65% in axillary nerve, 80% in intercostobrachial nerve and 95% in medial brachial cutaneous nerve. This rate was found to be 100% for all the nerves with infraclavicular approach.?Conclusion: For arteriovenous fistula surgeries in uremic patients, both axillary approach performed through multiple injection method and vertical infraclavicular approach performed through single injection method can be used successfully; however, for the short performance of the procedure, infraclavicular block may be preferred. doi:10.4021/jocmr723w
机译：背景：本研究旨在比较接受过动静脉注射的尿毒症患者的感觉和运动阻滞发作，臂丛神经阻滞的质量和程度，以及通过多次注射方法进行的腋窝入路和通过单次注射方法进行的垂直锁骨下入路。方法：对40例计划行腋静脉臂丛神经阻滞（AX组，n = 20）或锁骨下臂臂丛神经阻滞（IC组，n = 20）的动静脉瘘的患者进行检查。正中，radial神经，尺神经和肌肉皮肤神经通过神经刺激选择性定位。根据每个患者的身高计算局部麻醉药的体积，并通过按等比例混合2％利多卡因和0.5％布比卡因制备所确定的体积。在第3、6、9、12、15、18和30分钟时评估感觉和运动阻滞，并测量其持续时间。结果：尽管采用腋窝入路的足够的感觉和运动阻滞率为100％，但皮肤，中位，神经，尺骨和肱前臂内侧皮肤神经，其中腋窝神经为65％，肋间臂神经为80％，臂臂内侧皮肤神经为95％。结论：对于尿毒症患者的动静脉瘘手术，可以通过多次注射方法行腋窝入路和通过单次注射方法行垂直锁骨下入路;对于尿毒症患者的动静脉瘘手术，均可以成功使用。但是，由于手术时间短，锁骨下锁骨可能是首选。 doi：10.4021 / jocmr723w

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