A Comparative Study between Bier’s Block and Axillary Brachial Plexus Block for Upper Limb below Elbow Surgery
DOI:
https://doi.org/10.48047/Keywords:
Axillary Branchial Plexus Block, Bier’s Block, Lignocaine Hydrochloride.Abstract
BACKGROUND
In this study we aim to compare two regional Anaesthesia techniques - the axillary brachial plexus block and Bier’s Block intravenous regional anesthesia (IVRA), with respect to the onset of analgesia, degree of sensory and motor blockade, duration of analgesia, and complications.
MATERIALS AND METHODS
The study was conducted on patients who were admitted to SVRRGGH, Tirupati for elective and urgent procedures of the upper limb below the elbow. In the current study, 60 patients were randomized into two groups of 30 patients each. Group I received an axillary brachial plexus block, while Group II received Bier’s block (IVRA). Patients were of either gender and between the ages of 18 and 50, came for either emergency or planned procedures below the elbow joint.
RESULTS
In comparing the duration of analgesia between the two atudy groups, the axillary block analgesia had a mean duration of 67.5 minutes while Bier's block lasted upto 46.8 minutes.
CONCLUSION
With regard to the onset of analgesia, the quality of the analgesia, and the degree of motor blockade, IVRA appears to be a better alternative based on the conclusions of the current study and recommendations from prior references.
