Shanthi, M (2017) Comparison of Ultrasound Guided Supra Clavicular and Infra Clavicular Blocks for Upper Extremity Surgery. Masters thesis, Thanjavur Medical College, Thanjavur.
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Abstract
AIMS AND OBJECTIVES: To compare the block performance time, overall effectiveness, commonly escaped nerves and the incidence of adverse events in ultrasound guided supra clavicular and infra clavicular blocks for upper extremity surgery METHODS: This study was prospective, randomised, double blind in nature.50 adult patients belonging to American society of anaesthesiologists physical status grades 1 and 2, of either gender aged between 17 and 60 years undergoing Upper limb orthopaedic surgery were randomly allocated into two equal groups:group SC received supra clavicular block and group IC received infra clavicular block. Both the groups received 15 ml of 1.5% Lignocaine and 15 ml of 0.5% bupivacaine with Injection Adrenaline 5 microgram/millilitre. RESULTS: The time taken for the procedure in group SC was 5.88+/-1.53 and in group IC was 10.88+/-3.11 (p < 0.001) with faster performance time for supra clavicular block. But the overall effectiveness was better with group IC with fischer exact p value-0.05. CONCLUSION: Ultrasound guided infra clavicular block has better overall effectiveness, with less escaping of nerves, less complications and longer performance time than ultrasound guided supra clavicular block.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Ultra sound, supra clavicular block, infra clavicular block,lignocaine.bupivacaine. |
| Subjects: | MEDICAL > Anaesthesiology |
| Depositing User: | Subramani R |
| Date Deposited: | 23 Feb 2020 04:25 |
| Last Modified: | 23 Feb 2020 04:25 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/11996 |
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