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Does local anesthetic temperature affect the onset and duration of ultrasound-guided infraclavicular brachial plexus nerve block?: a randomized clinical trial

BACKGROUND: Infraclavicular brachial plexus nerve block is a commonly performed anesthesiology technique in the upper extremity. Local anesthetics may be administered at different temperatures for both neuraxial and peripheral nerve blocks. We aimed to evaluate the effects of the temperature of the...

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Autores principales: Ince, Ilker, Arı, Muhammed Ali, Dostbil, Aysenur, Yalcin, Esra Kutlu, Ozmen, Ozgur, Khan, M. Zafeer, Shimada, Tetsuya, Aksoy, Mehmet, Tuncer, Kutsi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9373242/
https://www.ncbi.nlm.nih.gov/pubmed/33823208
http://dx.doi.org/10.1016/j.bjane.2021.02.044
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author Ince, Ilker
Arı, Muhammed Ali
Dostbil, Aysenur
Yalcin, Esra Kutlu
Ozmen, Ozgur
Khan, M. Zafeer
Shimada, Tetsuya
Aksoy, Mehmet
Tuncer, Kutsi
author_facet Ince, Ilker
Arı, Muhammed Ali
Dostbil, Aysenur
Yalcin, Esra Kutlu
Ozmen, Ozgur
Khan, M. Zafeer
Shimada, Tetsuya
Aksoy, Mehmet
Tuncer, Kutsi
author_sort Ince, Ilker
collection PubMed
description BACKGROUND: Infraclavicular brachial plexus nerve block is a commonly performed anesthesiology technique in the upper extremity. Local anesthetics may be administered at different temperatures for both neuraxial and peripheral nerve blocks. We aimed to evaluate the effects of the temperature of the local anesthetic at the time of administration on the onset and duration of sensory and motor blocks in infraclavicular brachial plexus nerve block. METHODS: A total of 80 patients undergoing elective upper extremity surgery were randomly assigned to one of the following groups using a computer-based randomization software; low temperature (4 °C) (Group L, n = 26), room temperature (25 °C) (Group R, n = 27) and warmed (37 °C) (Group W, n = 27). A 1:1 mixture of 2% lidocaine and 0.5% bupivacaine was used as local anesthetic. Infraclavicular brachial plexus nerve block was performed under ultrasound guidance in all patients preoperatively. The onset and duration of sensory and motor blocks were recorded. RESULTS: Each group had different onset of motor (p < 0.001) and sensory (p < 0.001) blocks. The duration of motor block was similar between groups (p = 221). However, a significant difference was found in the duration of sensory block between group L (399.1 ± 40.8 min) and group R (379.6 ± 27.6 min) (p = 0.043). There was no complication related to nerve block procedure. CONCLUSIONS: The administration of the local anesthetic at lower temperatures may prolong the onset of both motor and sensory blocks in infraclavicular brachial plexus nerve block.
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spelling pubmed-93732422022-08-15 Does local anesthetic temperature affect the onset and duration of ultrasound-guided infraclavicular brachial plexus nerve block?: a randomized clinical trial Ince, Ilker Arı, Muhammed Ali Dostbil, Aysenur Yalcin, Esra Kutlu Ozmen, Ozgur Khan, M. Zafeer Shimada, Tetsuya Aksoy, Mehmet Tuncer, Kutsi Braz J Anesthesiol Clinical Research BACKGROUND: Infraclavicular brachial plexus nerve block is a commonly performed anesthesiology technique in the upper extremity. Local anesthetics may be administered at different temperatures for both neuraxial and peripheral nerve blocks. We aimed to evaluate the effects of the temperature of the local anesthetic at the time of administration on the onset and duration of sensory and motor blocks in infraclavicular brachial plexus nerve block. METHODS: A total of 80 patients undergoing elective upper extremity surgery were randomly assigned to one of the following groups using a computer-based randomization software; low temperature (4 °C) (Group L, n = 26), room temperature (25 °C) (Group R, n = 27) and warmed (37 °C) (Group W, n = 27). A 1:1 mixture of 2% lidocaine and 0.5% bupivacaine was used as local anesthetic. Infraclavicular brachial plexus nerve block was performed under ultrasound guidance in all patients preoperatively. The onset and duration of sensory and motor blocks were recorded. RESULTS: Each group had different onset of motor (p < 0.001) and sensory (p < 0.001) blocks. The duration of motor block was similar between groups (p = 221). However, a significant difference was found in the duration of sensory block between group L (399.1 ± 40.8 min) and group R (379.6 ± 27.6 min) (p = 0.043). There was no complication related to nerve block procedure. CONCLUSIONS: The administration of the local anesthetic at lower temperatures may prolong the onset of both motor and sensory blocks in infraclavicular brachial plexus nerve block. Elsevier 2021-04-03 /pmc/articles/PMC9373242/ /pubmed/33823208 http://dx.doi.org/10.1016/j.bjane.2021.02.044 Text en © 2021 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Clinical Research
Ince, Ilker
Arı, Muhammed Ali
Dostbil, Aysenur
Yalcin, Esra Kutlu
Ozmen, Ozgur
Khan, M. Zafeer
Shimada, Tetsuya
Aksoy, Mehmet
Tuncer, Kutsi
Does local anesthetic temperature affect the onset and duration of ultrasound-guided infraclavicular brachial plexus nerve block?: a randomized clinical trial
title Does local anesthetic temperature affect the onset and duration of ultrasound-guided infraclavicular brachial plexus nerve block?: a randomized clinical trial
title_full Does local anesthetic temperature affect the onset and duration of ultrasound-guided infraclavicular brachial plexus nerve block?: a randomized clinical trial
title_fullStr Does local anesthetic temperature affect the onset and duration of ultrasound-guided infraclavicular brachial plexus nerve block?: a randomized clinical trial
title_full_unstemmed Does local anesthetic temperature affect the onset and duration of ultrasound-guided infraclavicular brachial plexus nerve block?: a randomized clinical trial
title_short Does local anesthetic temperature affect the onset and duration of ultrasound-guided infraclavicular brachial plexus nerve block?: a randomized clinical trial
title_sort does local anesthetic temperature affect the onset and duration of ultrasound-guided infraclavicular brachial plexus nerve block?: a randomized clinical trial
topic Clinical Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9373242/
https://www.ncbi.nlm.nih.gov/pubmed/33823208
http://dx.doi.org/10.1016/j.bjane.2021.02.044
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