Abstract

Supraclavicular brachial plexus block described as “spinal of upper limb” due to the dense motor and sensory blockade below mid humerus. The Lateral approach is speculated to be equipotent, less complication and higher success rate as compared to Classical approach. Aim and objectives: We aimed toa comparative clinical study for efficacy of lateral and classical approach of supraclavicular brachial plexus block with 0.5% ropivacaine in upper limb surgeries. Material and Methods: This was a prospective, randomized study and single blinded study, conducted on 108 patients of ASA I&II of either sex, aged >18 years and with informed and written consent. & Who undergoing to upper limb surgeries with supraclavicular brachial plexus block by Lateral and Classical approaches. Patients were allocated into two groups (group L and group C) of each have 54 patients.Statistical software SPSS trial Ver 20 was used for statistical analysis of results. Results: Time to perform the block was shorter, Number of attempts was less and complications were less by the Lateral approach when compared to Classical approach with p value <0.05%. The mean time to onset of sensory and motor blockade and the mean duration of sensory and motor blockade did not differ between the two approaches with p value >0.05. Conclusions: The Lateral approach is better option to Classical approach in terms of less time to perform, lesser number of attempts adequacy of block, tourniquet tolerance and less complications and higher success rate.

Description