Interscalene brachial plexus block: depth and angle from the skin insertion point to the brachial plexus and to C6-7 intervertebral foramen / 대한마취과학회지
Korean Journal of Anesthesiology
; : 570-574, 2008.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-136203
Biblioteca responsável:
WPRO
ABSTRACT
BACKGROUND:
The angle and depth from the insertion point to the brachial plexus (BP) and C6-7 intervertebral foramen (IF) was examined to prevent critical complications of an interscalene brachial plexus block (ISBPB), such as an epidural or subdural injection of local anesthetics and spinal cord injury.METHODS:
Thirty patients (female = 12, male = 18), aged 20-64 years, undergoing shoulder or upper limb surgery were examined. ISBPB was performed at the interscalene groove intersecting the extended transverse line from the cricoid cartilage. A needle was then advanced towards the C6 transverse process (TP) and C6-7 IF under the C-arm fluoroscopic guidance. The depth and angle of the needle path intersecting the sagittal plane from the skin insertion point to BP, transverse process (TP) and IF were measured.RESULTS:
The mean depth of the needle from the insertion point to BP, TP and IF were 2.6 +/- 0.3 cm, 3.2 +/- 0.4 cm, 3.7 +/- 0.3 cm in the female patients, and 2.7 +/- 0.3 cm, 3.6 +/- 0.5 cm, 4.1 +/- 0.3 cm in the male patients. The mean angle of the needle path at the same point was 56.0 +/- 7.2o (range, 42.0-65.0degrees), 54.2 +/- 5.8degrees, 53.7 +/- 4.4degrees in the female patients, and 59.3 +/-8.3degrees (45.0-75.0degrees), 54.0 +/- 6.3degrees, 54.9 +/- 4.2degrees in male patients. There were significant differences in the depth from the skin to the TP and IF between males and females.CONCLUSIONS:
These findings are expected to provide a guideline for more accurate needle placement and successful block during ISBPB.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Ombro
/
Pele
/
Medula Espinal
/
Plexo Braquial
/
Cartilagem Cricoide
/
Extremidade Superior
/
Espaço Epidural
/
Anestésicos Locais
/
Agulhas
Limite:
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
2008
Tipo de documento:
Artigo