Success Rate and Safety of Ultrasound-Guided Supraclavicular Brachial Plexus Blocks at Kantharalak Hospital
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Abstract
Blocking the nerve branch of the arm above the collarbone using ultrasound guidance is a method. commonly used in upper limb surgery It is an anesthesia standard. It uses images from an ultrasound machine to identify nerve branches. of the arm before anesthesia. This method allows for proper needle placement during nerve blocking and visualization of anesthetic distribution around the nerve. This method provides anesthesia and avoids the side effects of general anesthesia. This retrospective descriptive study aimed to study the success and complications of ultrasound-guided supraclavicular nerve branch blockade at Kantharalak Hospital. The sample consisted of 520 patients who underwent ultrasound-guided supraclavicular nerve branch blockade for upper extremity surgery at Kantharalak Hospital. The research instrument was a data recording form developed from a review of relevant literature. Data on success and occurrence of complications, general patient information, duration of successful nerve block, needle size, type and amount of local anesthesia used, and additional medications received were collected from the patients’ medical records retrospectively. Between October 1, 2020, and September 30, 2023, the data were analyzed using descriptive statistics.
The results of the study found that out of a total of 520 subjects, 426 (81.9%) of the subjects had successful results in providing anesthesia with ultrasound-guided brachial nerve blockade, while 94 (18.1%) had failed results. All 94 unsuccessful patients underwent additional techniques: 44 intraoperative local anesthesia, 1 in ulnar nerve blockade, 47 in general anesthesia, and 2 in combination with intraoperative local anesthesia and general anesthesia. One complication was reported, Horner’s syndrome, but no serious complications such as pneumothorax or local anesthetic toxicity were found. The study concluded that the supraclavicular brachial nerve blockade with ultrasound had a success rate of 81.9% and few complications.
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เนื้อหาและข้อมูล (เขียนข้อกำหนด)
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