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Revista mexicana de anestesiología

Print version ISSN 0484-7903

Abstract

CASTILLO-ZAMORA, Carlos  and  CASTILLO-PERALTA, Luz Antonia. Brachial plexus block with ultrasound: a descriptive study of routine clinical practice in 283 children. Rev. mex. anestesiol. [online]. 2023, vol.46, n.1, pp.21-25.  Epub June 16, 2023. ISSN 0484-7903.  https://doi.org/10.35366/108618.

Introduction:

in recent years with the revival of regional anesthesia due to technical advances in equipment such as ultrasound, have allowed to carry out brachial plexus blocks with several approach techniques with high efficiency of success and reduction of complications.

Objective:

to know the efficacy and safety of brachial plexus block with ultrasound, in anesthesiologists with a specialty in regional anesthesia.

Material and methods:

the observational, descriptive, retrospective study of the usual clinical practice was carried out in 283 patients from 0 to 15 years old, scheduled for elective orthopedic surgery and traumatology, of the upper extremity (distal third humerus, elbow, forearm and hand), with anesthetic management: sedation plus brachial plexus block with ultrasound supraclavicular or infraclavicular approach. For two years from January 2018 to December 2019.

Results:

the blocks were performed by 11 anesthesiologists specializing in regional anesthesia. Efficacy was evaluated with 99.65% success. In terms of safety, there were no complications.

Conclusions:

the use of ultrasound in brachial plexus block with supraclavicular and infraclavicular approach is a technique with high success and without complications however it is necessary to have training and experience.

Keywords : regional anesthesia; brachial plexus block; upper extremity.

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