Title: Application of ultrasound combined nerve stimulation supraclavicular brachial plexus blockage in pediatric upper extremity operation
Abstract: Objective To investigate the ultrasound combined nerve stimulation supraclavicular brachial plexus anaesthesia for safe and effective operation of the upper limbs in children.Methods Forty patients undergoing upper limb operation were randomly divided into the ultrasound combined nerve stimulation group(group A)and nerve stimulation group(group B),with20 patients in each group.The two groups of children had the sevoflurane/N2 O inhaled anesthesia supraclavicular brachial plexus blockage,but those in group A were ultrasound combined nerve stimulation,while those in group B were with nerve stimulator,0.5% ropivacaine≤0.5mL/kg concentration was used for nerve blockage.The handling time,onset time of nerve block,block duration time and the time spent in the recovery room,drug dosage for intra-operative assistance,the effect of anesthesia and the complications of the two group were compared.Results The handling time,onset time and time spent in the recovery room in group A was significantly shorter than those in group B(P0.05).The drug used for anesthesia assistance in group A was less than group B(P0.05).The block duration time of group A was significantly longer than that of group B(P0.05),and the anesthesia effect during the surgery of group A was better than group B.The incidence of vascular injury in group B was higher than that of group A,(P0.05).Conclusion Ultrasound combined nerve stimulation supraclavicular brachial plexus blockage can obviously improve the anesthetic efficacy,reduce the complications of anesthesia in children for upper limbs operation.It can be safely used in clinical practice.
Publication Year: 2015
Publication Date: 2015-01-01
Language: en
Type: article
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