Volume 15, Issue 3 (12-2024)
JAP 2024, 15(3): 31-43 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Alebouyeh M, Entezari S, Zaman B, Rahimzadeh P, Khabaz H. Comparison between intercostobrachial nerve block and axiliary nerve block on tourniquet pain in patients under upper limb surgeries who received infraclavicular block under guide of ultrasound: a randomized single blind clinical trial study. JAP 2024; 15 (3) :31-43
URL: http://jap.iums.ac.ir/article-1-5763-en.html
URL: http://jap.iums.ac.ir/article-1-5763-en.html
Mahmoudreza Alebouyeh 
1, Saeedreza Entezari2 , Behrooz Zaman3 , Poupak Rahimzadeh4 , Hamidreza Khabaz5
1, Saeedreza Entezari2 , Behrooz Zaman3 , Poupak Rahimzadeh4 , Hamidreza Khabaz5
1- 1. Anesthesiologist, Pain fellowship, Associate Professor, Department of Anesthesiology, School of medicine, Iran university of medical sciences, Tehran, Iran , Dr.alebouyeh@gmail.com
2- 2. Anesthesiologist, Pain fellowship, Assistant Professor, Department of Anesthesiology, School of medicine, Iran university of medical sciences, Tehran, Iran
3- 3. Anesthesiologist, Assistant Professor, Department of Anesthesiology, School of medicine, Iran university of medical sciences, Tehran, Iran
4- 4. Anesthesiologist, Pain fellowship, Professor, Department of Anesthesiology, School of medicine, Iran university of medical sciences, Tehran, Iran
5- 5. Resident of anesthesiology, Department of Anesthesiology, School of medicine, Iran university of medical sciences, Tehran, Iran
2- 2. Anesthesiologist, Pain fellowship, Assistant Professor, Department of Anesthesiology, School of medicine, Iran university of medical sciences, Tehran, Iran
3- 3. Anesthesiologist, Assistant Professor, Department of Anesthesiology, School of medicine, Iran university of medical sciences, Tehran, Iran
4- 4. Anesthesiologist, Pain fellowship, Professor, Department of Anesthesiology, School of medicine, Iran university of medical sciences, Tehran, Iran
5- 5. Resident of anesthesiology, Department of Anesthesiology, School of medicine, Iran university of medical sciences, Tehran, Iran
Abstract: (56 Views)
Abstract
Background and Aim: The aim of the present study was to compare the effect of intercostobrachial nerve block versus axillary nerve block on the level of tourniquet pain in patients undergoing upper limb surgery with infraclavicular block.
Material and Method: This study was a randomized, single-blinded clinical trial. After obtaining consent, 30 patients were randomly divided into 2 groups. The first group (15 patients) received 5 cc of 0.5% ropivacaine for intercostobrachial nerve block, and the second group (15 patients) received 5 cc of 0.5% ropivacaine for axillary nerve block subcutaneously. Patients' satisfaction was measured using a questionnaire, and the data were analyzed using SPSS version 26 software.
Results: 30 patients (15 men and 15 women) were included. The mean age was 42.33 ± 13.62 years in the Axillary block group and 48.07 ± 17.71 years in the Intercostobrachial block group. None of the patients in either group reported pain in the tourniquet area and did not require opioid administration. The determination of patient satisfaction level did not show a significant difference between the two groups (P-Value=0.553). The distribution of mean systolic (P-Value=0.789) and diastolic (P-Value=0.942) blood pressure before and after tourniquet application after 4 measurements did not show a significant difference.
Conclusion: The findings indicate that the use of intercostobrachial and axillary nerve blocks results in the elimination of pain in the tourniquet area, and there is no need for systemic opioid medications. Most patients were highly satisfied with the surgical procedure.
Background and Aim: The aim of the present study was to compare the effect of intercostobrachial nerve block versus axillary nerve block on the level of tourniquet pain in patients undergoing upper limb surgery with infraclavicular block.
Material and Method: This study was a randomized, single-blinded clinical trial. After obtaining consent, 30 patients were randomly divided into 2 groups. The first group (15 patients) received 5 cc of 0.5% ropivacaine for intercostobrachial nerve block, and the second group (15 patients) received 5 cc of 0.5% ropivacaine for axillary nerve block subcutaneously. Patients' satisfaction was measured using a questionnaire, and the data were analyzed using SPSS version 26 software.
Results: 30 patients (15 men and 15 women) were included. The mean age was 42.33 ± 13.62 years in the Axillary block group and 48.07 ± 17.71 years in the Intercostobrachial block group. None of the patients in either group reported pain in the tourniquet area and did not require opioid administration. The determination of patient satisfaction level did not show a significant difference between the two groups (P-Value=0.553). The distribution of mean systolic (P-Value=0.789) and diastolic (P-Value=0.942) blood pressure before and after tourniquet application after 4 measurements did not show a significant difference.
Conclusion: The findings indicate that the use of intercostobrachial and axillary nerve blocks results in the elimination of pain in the tourniquet area, and there is no need for systemic opioid medications. Most patients were highly satisfied with the surgical procedure.
Keywords: Intercostobrachial nerve block, Axillary nerve block, Tourniquet pain, Upper limb surgery, Infraclavicular block, Randomized clinical trial
Type of Study: Applicable |
Subject:
Regional anesthesia
Received: 2024.06.10 | Accepted: 2024.10.11 | Published: 2024.12.30
Received: 2024.06.10 | Accepted: 2024.10.11 | Published: 2024.12.30
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
