Abstract

As a result of regional anaesthesia's advantages over general anesthesia, these blocks are now commonplace in contemporary medicine. The use of peripheral nerve blocks for anaesthesia and pain management is widely regarded as the gold standard for outpatient limb surgery. Methods: This was a prospective, randomized, observer-blinded controlled trial conducted at Department of Anesthesiology, which is a part of JJMMC, Davangere, Karnataka, India between April 2023 to August 2023. Fifty patients (25 men and 25 women, ASA physical status 1 or 2, scheduled for upper limb surgeries) were randomly assigned to either Group-CC or Group-PC. All told, there were 25 persons spread throughout the two groups. In order to create the local anesthetic, 15ml of 0.5% bupivacaine was combined with 15ml of 2% lignocaine and 5ugs/ml of adrenaline. Results: In this randomized, observer-blinded trial, 50 patients with similar demographics underwent surgery on their upper limbs. This study aimed to compare the onset times, imaging times, needling times, performance times, needle passes, adverse events, and surgical anaesthesia of the costoclavicular approach and the paracoracoid approach to infraclavicular brachial plexus block using ultrasound guidance. Conclusion: Compared to the paracoracoid route, we found that the Costoclavicular approach leads to earlier surgical readiness and faster onset of sensori-motor blockade. Block and needle manipulation can be performed much more quickly with the costoclavicular approach than with the paracoracoid approach

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