Abstract

Background & Methods: The aim of the study is to evaluate Time of onset of analgesia & Extent of sensory block approaches macintosh and lateral of supraclavicular brachial plexus block in upper extremity surgeries. The patients with associated medical conditions like hypotension, ischemic heart disease, diabetes, severe anaemia, renal disease where general anaesthesia was supposed to be associated with increased risk, were of particular interest. Patients with the respiratory disease were given the special consideration. Results: Group I: 88% patients had successful sensory block. Group II: 96% patients had successful sensory block. Conclusion: Patients were divided randomly in each group. Cases were selected where surgery was supposed to be up to lower 1/3rd of humerous, forearm & hand. The patients selected underwent thorough preanaesthetic checkup and routinely investigated in group I conventional supraclavicular approach was applied while in group II lateral approach was undertaken. In group the drug was deposited either on first rib or after eliciting paraesthesia while in group II after it was deposited only after eliciting paraesthesia. In this group elicitation of the paraesthesia was taken as a mandatory for deposition of drug.

Description