Korean J Anesthesiol Search

CLOSE


Korean Journal of Anesthesiology 2007;52(3):291-295.
DOI: https://doi.org/10.4097/kjae.2007.52.3.291   
The Effect of Distal Tourniquet in the Axillary Brachial Plexus Block.
Jin Ki Min, Sang Woo Jung, Yong Hyun Cho, Sung Ki Hong, Jong Hyun Yoon, Young Kyoo Choi
1Department of Anesthesiology and Pain Medicine, Seoul Sacred Heart Hospital, Korea.
2Department of Anesthesiology and Pain Medicine, College of Medicine, Kyung Hee University, Seoul, Korea. cykyko@unitel.co.kr
Abstract
BACKGROUND
We investigated the effect of distal tourniquet to the proximal spread of local anesthetics in the axillary brachial plexus block.
METHODS
In this prospective, randomized, controlled trial, 60 patients undergoing elective surgery were divided into two equal groups; Group I (2% mepivacaine 20 ml plus 1% lidocaine 20 ml with 250 mmHg of distal tourniquet) and Group II (2% mepivacaine 20 ml plus 1% lidocaine 20 ml alone). Patients were left for 30 minutes after an axillary brachial plexus block with paresthesia and single injection technique. Sensory blockades were evaluated by pin prick test at each nerve dermatome.
RESULTS
There was no significant difference of sensory blockade in radial nerve, but there were significant differences of sensory blockade in ulnar, median, musculocutaneous, medial antebrachial cutaneous, and axillary nerves (P < 0.05).
CONCLUSIONS
Our findings suggest that the quality and effect of axillary brachial plexus block in group with distal tourniquet is better than the control group.
Key Words: axillary brachial plexus block; mepivacaine; sensory blockade; tourniquet


ABOUT
ARTICLE CATEGORY

Browse all articles >

BROWSE ARTICLES
AUTHOR INFORMATION
Editorial Office
101-3503, Lotte Castle President, 109 Mapo-daero, Mapo-gu, Seoul 04146, Korea
(서울특별시 마포구 마포대로 109 롯데캐슬 프레지던트 101동 3503호)
Tel: +82-2-792-5128    Fax: +82-2-792-4089    E-mail: journal@anesthesia.or.kr                
Business Name: Korean Society of Anesthesiologists (대한마취통증의학회)
Business Registration: 106-82-07194
Representative: Jun Heum Yon (연준흠)

Copyright © 2024 by Korean Society of Anesthesiologists.

Developed in M2PI

Close layer
prev next