A systematic review of ultrasound-guided methods for brachial plexus blockade.

Details

Serval ID
serval:BIB_9FBA1A856C57
Type
Article: article from journal or magazin.
Collection
Publications
Title
A systematic review of ultrasound-guided methods for brachial plexus blockade.
Journal
Anaesthesia
Author(s)
Albrecht E., Mermoud J., Fournier N., Kern C., Kirkham K.R.
ISSN
1365-2044 (Electronic)
ISSN-L
0003-2409
Publication state
Published
Issued date
2016
Peer-reviewed
Oui
Volume
71
Number
2
Pages
213-227
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't ; Review
Publication Status: ppublish
Abstract
We systematically reviewed 25 randomised controlled trials of ultrasound-guided brachial plexus blockade that recruited 1948 participants: either one approach vs another (axillary, infraclavicular or supraclavicular); or one injection vs multiple injections. There were no differences in the rates of successful blockade with approach, relative risk (95% CI): axillary vs infraclavicular, 1.0 (1.0-1.1), p = 0.97; axillary vs supraclavicular, 1.0 (1.0-1.1), p = 0.68; and infraclavicular vs supraclavicular, 1.0 (1.0-1.1), p = 0.32. There was no difference in the rate of successful blockade with the number of injections, relative risk (95% CI) 1.0 (1.0-1.0), p = 0.69, for one vs multiple injections. The rate of procedural paraesthesia was less with one injection than multiple injections, relative risk (95% CI) 0.6 (0.4-0.9), p = 0.004.
Keywords
Anesthetics, Local/administration & dosage, Brachial Plexus/drug effects, Brachial Plexus/ultrasonography, Brachial Plexus Block/methods, Humans, Randomized Controlled Trials as Topic, Ultrasonography, Interventional
Pubmed
Web of science
Open Access
Yes
Create date
28/12/2015 9:53
Last modification date
20/08/2019 16:05
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