A Comparative Prospective Randomized Clinical Study Between Supraclavicular Perivascular Technique And Infraclavicular Brachial Plexus Blockade For Below Elbow Surgeries

ABSTRACT

OBJECTIVE: To compare the efficacy of supraclavicular perivascular technique and vertical infraclavicular achial plexus block, using nerve locator for below elbow surgeries. MATERIALS AND METHODS: Eighty patients of ASA grade I or II of either sex undergoing below elbow surgeries (mostly orthopedic surgeries) were randomly allocated into group S and group I. Each group comprises of 40 patients. Surgery was done under Vertical Infraclavicular approach of Brachial plexus Block in Group I Supraclavicular perivascular approach of Brachial plexus block in GroupS. RESULTS: The supraclavicular perivascular technique and vertical infraclavicular achial plexus block, using nerve locator for below elbow surgeries to evaluate the Ease of technique ,Time taken for the onset of sensory and motor blockade ,Total duration of sensory and motor blockade and Occurrence of complications statistically showed no significant differences between the two groups. CONCLUSION: Nerve locator guided Infraclavicular block of achial plexus is similar to nerve locator guided supraclavicular block in the form of ease of technique, onset and duration of sensory & motor blockade and on complication rate.