Journal List > J Korean Soc Surg Hand > v.19(1) > 1106459

J Korean Soc Surg Hand. 2014 Mar;19(1):13-18. Korean.
Published online March 28, 2014.  https://doi.org/10.12790/jkssh.2014.19.1.13
Copyright © 2014. The Korean Society for Surgery of the Hand
The Efficacy of Ultrasound-Guided Brachial Plexus Block in Trauma Patients
Jung Ho Rah, Sung Min Kwon, Jae Hak Cha, Jun Pyo Lee and Jae Hyun Kim
Department of Orthopedics, Yonsei University Wonju College of Medicine, Wonju, Korea.

Correspondence to: Jung Ho Rah. Department of Orthopedics, Yonsei University Wonju College of Medicine, 20 Ilsan-ro, Wonju 220-701, Korea. TEL: +82-33-741-1360, FAX: +82-33-742-1362, Email: ckwogkr@empas.com
Received November 20, 2013; Revised February 27, 2014; Accepted February 28, 2014.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


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.

Results

During the brachial plexus block, intravascular injection of lidocaine occurred in one patient. Except this, all patients who received brachial plexus replied they would choose brachial plexus block if they had to undergo the same surgery.

Conclusion

Brachial plexus block is an effective anesthesia technique in the immediate management of open wound in upper extremities.

Keywords: Trauma; Ultrasound; Brachial plexus block

Figures


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.
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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.
Click for larger image

Tables


Table 1
Study period was from July 2012 to April 2013, during which 34 patients underwent brachial plexus block due to trauma
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Table 2
Operation name of underwent brachial plexus block due to trauma
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Table 3
Satisfaction for brachial plexus block
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