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Abstract
Purpose:
We evaluated the efficacy of brachial plexus block under the guide of ultrasonography for immediate management of open wound in patients with multiple trauma.
Methods:
From July 2012 to April 2013, 34 patients with multiple trauma had brachial plexus block for immediate management of open wound in the upper extremity. We evaluated the patient satisfaction of the anesthesia and any complications related to the block.
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Fig. 1.
Prepare for BPB. Mixed 1 % lidocane 20 mL, bupivacane 20 mL, and normal saline 10 mL for BPB injection. BPB, brachial plexus block.
Fig. 2.
Procedure BPB with ultrasono. By using ultrasono, find median nerve, radial nerve, ulna nerve and muscular cutaneous nerve, injection mixed fluid at median nerve, radial nerve, ulna nerve- each 10 mL, and injection muscular cutaneous nerve 5 mL. BPB, brachial plexus block; MN, median nerve; AA, axial artery; UN, ulna nerve; MCN, muscula cutaneous nerve; RN, radial nerve.
Table 1.
Study period was from July 2012 to April 2013, during which 34 patients underwent brachial plexus block due to trauma
| Characteristic | Value |
|---|---|
| Period | 2012.7–2013.4 |
| Gender (male/female) | 27/7 |
| Age (yr) | 48.2 (19–78) |
| Hand injury | 24 |
| Wrist injury | 0 |
| Forearm injury | 2 |
| Elow injury | 1 |
| Upper arm | 1 |
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