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Posterior parasagittal in-plane ultrasound-guided infraclavicular brachial plexus block–a case series
BACKGROUND: The brachial plexus at the infraclavicular level runs deeper compared to its course proximally, giving rise to impaired needle visualisation due to the steep angle of needle insertion with the current ultrasound-guided approach. A new posterior parasagittal in-plane ultrasound-guided inf...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4509774/ https://www.ncbi.nlm.nih.gov/pubmed/26194896 http://dx.doi.org/10.1186/s12871-015-0090-0 |
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author | Beh, Zhi Yuen Hasan, M. Shahnaz Lai, Hou Yee Kassim, Normadiah M. Md Zin, Siti Rosmani Chin, Kin Fah |
author_facet | Beh, Zhi Yuen Hasan, M. Shahnaz Lai, Hou Yee Kassim, Normadiah M. Md Zin, Siti Rosmani Chin, Kin Fah |
author_sort | Beh, Zhi Yuen |
collection | PubMed |
description | BACKGROUND: The brachial plexus at the infraclavicular level runs deeper compared to its course proximally, giving rise to impaired needle visualisation due to the steep angle of needle insertion with the current ultrasound-guided approach. A new posterior parasagittal in-plane ultrasound-guided infraclavicular approach was introduced to improve needle visibility. However no further follow up study was done. METHODS: We performed a case series and a cadaveric dissection to assess its feasibility in a single centre, University of Malaya Medical Centre, Kuala Lumpur, Malaysia from November 2012 to October 2013. After obtaining approval from the Medical Ethics Committee, University Malaya Medical Centre, 18 patients undergoing upper limb surgery were prospectively recruited. A cadaveric dissection was also performed. The endpoints of this study were the success rate, performance time, total anaesthesia-related time, quality of anaesthesia and any incidence of complications. RESULTS: All patients had 100 % success rate. The imaging time, needling time and performance time were comparable with previously published study. There were no adverse events encountered in this study. The cadaveric dissection revealed a complete spread of methylene blue dye over the brachial plexus. CONCLUSION: This study demonstrated that the posterior parasagittal in-plane approach is a feasible and reliable technique with high success rate. Future studies shall compare this technique with the conventional lateral parasagittal in-plane approach. TRIAL REGISTRATION: ClinicalTrials.gov NCT02312453. Registered on 8 December 2014. |
format | Online Article Text |
id | pubmed-4509774 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-45097742015-07-23 Posterior parasagittal in-plane ultrasound-guided infraclavicular brachial plexus block–a case series Beh, Zhi Yuen Hasan, M. Shahnaz Lai, Hou Yee Kassim, Normadiah M. Md Zin, Siti Rosmani Chin, Kin Fah BMC Anesthesiol Research Article BACKGROUND: The brachial plexus at the infraclavicular level runs deeper compared to its course proximally, giving rise to impaired needle visualisation due to the steep angle of needle insertion with the current ultrasound-guided approach. A new posterior parasagittal in-plane ultrasound-guided infraclavicular approach was introduced to improve needle visibility. However no further follow up study was done. METHODS: We performed a case series and a cadaveric dissection to assess its feasibility in a single centre, University of Malaya Medical Centre, Kuala Lumpur, Malaysia from November 2012 to October 2013. After obtaining approval from the Medical Ethics Committee, University Malaya Medical Centre, 18 patients undergoing upper limb surgery were prospectively recruited. A cadaveric dissection was also performed. The endpoints of this study were the success rate, performance time, total anaesthesia-related time, quality of anaesthesia and any incidence of complications. RESULTS: All patients had 100 % success rate. The imaging time, needling time and performance time were comparable with previously published study. There were no adverse events encountered in this study. The cadaveric dissection revealed a complete spread of methylene blue dye over the brachial plexus. CONCLUSION: This study demonstrated that the posterior parasagittal in-plane approach is a feasible and reliable technique with high success rate. Future studies shall compare this technique with the conventional lateral parasagittal in-plane approach. TRIAL REGISTRATION: ClinicalTrials.gov NCT02312453. Registered on 8 December 2014. BioMed Central 2015-07-21 /pmc/articles/PMC4509774/ /pubmed/26194896 http://dx.doi.org/10.1186/s12871-015-0090-0 Text en © Beh et al. 2015 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Beh, Zhi Yuen Hasan, M. Shahnaz Lai, Hou Yee Kassim, Normadiah M. Md Zin, Siti Rosmani Chin, Kin Fah Posterior parasagittal in-plane ultrasound-guided infraclavicular brachial plexus block–a case series |
title | Posterior parasagittal in-plane ultrasound-guided infraclavicular brachial plexus block–a case series |
title_full | Posterior parasagittal in-plane ultrasound-guided infraclavicular brachial plexus block–a case series |
title_fullStr | Posterior parasagittal in-plane ultrasound-guided infraclavicular brachial plexus block–a case series |
title_full_unstemmed | Posterior parasagittal in-plane ultrasound-guided infraclavicular brachial plexus block–a case series |
title_short | Posterior parasagittal in-plane ultrasound-guided infraclavicular brachial plexus block–a case series |
title_sort | posterior parasagittal in-plane ultrasound-guided infraclavicular brachial plexus block–a case series |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4509774/ https://www.ncbi.nlm.nih.gov/pubmed/26194896 http://dx.doi.org/10.1186/s12871-015-0090-0 |
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