Comparison of Ultrasound Versus Ultrasound with Nerve Stimulator-Guided Infraclavicular Block Anesthesia Methods in Pediatric Patients
<i>Background and objectives</i>: Brachial plexus block is one of the most effective anesthesia and analgesia methods for upper extremity surgeries across different age groups. However, the number of studies on this block in children is insufficient. The aim of this study was to retrospe...
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MDPI AG
2025-05-01
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| author | Abdulhakim Şengel Evren Büyükfirat Selçuk Seçilmiş Nuray Altay Ahmet Atlas Abdullah Şengül |
| author_facet | Abdulhakim Şengel Evren Büyükfirat Selçuk Seçilmiş Nuray Altay Ahmet Atlas Abdullah Şengül |
| author_sort | Abdulhakim Şengel |
| collection | DOAJ |
| description | <i>Background and objectives</i>: Brachial plexus block is one of the most effective anesthesia and analgesia methods for upper extremity surgeries across different age groups. However, the number of studies on this block in children is insufficient. The aim of this study was to retrospectively analyze and discuss the efficacy and safety of ultrasound (US)- and Ultrasound with nerve stimulator (US + NS)-guided infraclavicular brachial plexus block (ICB) in pediatric patients. <i>Materials and Method</i>: In this study, we retrospectively analyzed the data of 240 pediatric patients admitted to our clinic between October 2020 and April 2023, 120 of whom underwent US-guided ICB and 120 who underwent US + NS-guided ICB. <i>Results</i>: Demographic data of both groups who underwent US and US + NS-guided ICB were similar. The mean procedure time was 6.1 ± 0.8 min for the US group and 8.31 ± 0.82 min for the US + NS group (<i>p</i> < 0.001). The mean operative time was 62.4 ± 11.3 min in the US group and 62.4 ± 9.5 min in the US + NS group (<i>p</i> = 0.73). Intraoperative and postoperative opioid and additional analgesia use and pain scores at 1, 3, 6, 9, 12, 15, and 24 h were recorded in both groups. The mean duration of the motor block (MBD) was 6.20 ± 0.95 h in the US group and 6.29 ± 0.88 h in the US + NS group (<i>p</i> = 0.46). The mean duration of sensory block (SBD) was 9.38 ± 2.13 h in the US group and 9.53 ± 2.05 h in the US + NS group (<i>p</i> = 0.38). <i>Conclusions</i>: In pediatric patients, US and US + NS-guided ICB applications are effective and safe in ease of application, prolonged analgesia, and low complication rates. In skilled hands, US-guided ICB can be as effective as US + NS-guided ICB. Further prospective studies with more significant patient populations are needed to validate these findings. |
| format | Article |
| id | doaj-art-9f3d5d94f73c45f8aa8c52e8392bd079 |
| institution | DOAJ |
| issn | 1010-660X 1648-9144 |
| language | English |
| publishDate | 2025-05-01 |
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| series | Medicina |
| spelling | doaj-art-9f3d5d94f73c45f8aa8c52e8392bd0792025-08-20T03:16:22ZengMDPI AGMedicina1010-660X1648-91442025-05-0161698510.3390/medicina61060985Comparison of Ultrasound Versus Ultrasound with Nerve Stimulator-Guided Infraclavicular Block Anesthesia Methods in Pediatric PatientsAbdulhakim Şengel0Evren Büyükfirat1Selçuk Seçilmiş2Nuray Altay3Ahmet Atlas4Abdullah Şengül5Department of Anesthesiology and Reanimation, Faculty of Medicine, Harran University, 63040 Şanlıurfa, TurkeyDepartment of Anesthesiology and Reanimation, Faculty of Medicine, Harran University, 63040 Şanlıurfa, TurkeyDepartment of Anesthesiology and Reanimation, Kahta State Hospital, 02400 Adiyaman, TurkeyDepartment of Anesthesiology and Reanimation, Faculty of Medicine, Harran University, 63040 Şanlıurfa, TurkeyDepartment of Anesthesiology and Reanimation, Faculty of Medicine, Harran University, 63040 Şanlıurfa, TurkeyDepartment of Anesthesiology and Reanimation, Faculty of Medicine, Harran University, 63040 Şanlıurfa, Turkey<i>Background and objectives</i>: Brachial plexus block is one of the most effective anesthesia and analgesia methods for upper extremity surgeries across different age groups. However, the number of studies on this block in children is insufficient. The aim of this study was to retrospectively analyze and discuss the efficacy and safety of ultrasound (US)- and Ultrasound with nerve stimulator (US + NS)-guided infraclavicular brachial plexus block (ICB) in pediatric patients. <i>Materials and Method</i>: In this study, we retrospectively analyzed the data of 240 pediatric patients admitted to our clinic between October 2020 and April 2023, 120 of whom underwent US-guided ICB and 120 who underwent US + NS-guided ICB. <i>Results</i>: Demographic data of both groups who underwent US and US + NS-guided ICB were similar. The mean procedure time was 6.1 ± 0.8 min for the US group and 8.31 ± 0.82 min for the US + NS group (<i>p</i> < 0.001). The mean operative time was 62.4 ± 11.3 min in the US group and 62.4 ± 9.5 min in the US + NS group (<i>p</i> = 0.73). Intraoperative and postoperative opioid and additional analgesia use and pain scores at 1, 3, 6, 9, 12, 15, and 24 h were recorded in both groups. The mean duration of the motor block (MBD) was 6.20 ± 0.95 h in the US group and 6.29 ± 0.88 h in the US + NS group (<i>p</i> = 0.46). The mean duration of sensory block (SBD) was 9.38 ± 2.13 h in the US group and 9.53 ± 2.05 h in the US + NS group (<i>p</i> = 0.38). <i>Conclusions</i>: In pediatric patients, US and US + NS-guided ICB applications are effective and safe in ease of application, prolonged analgesia, and low complication rates. In skilled hands, US-guided ICB can be as effective as US + NS-guided ICB. Further prospective studies with more significant patient populations are needed to validate these findings.https://www.mdpi.com/1648-9144/61/6/985analgesiaanesthesiabrachial plexus blocknerve blockupper extremitypatients |
| spellingShingle | Abdulhakim Şengel Evren Büyükfirat Selçuk Seçilmiş Nuray Altay Ahmet Atlas Abdullah Şengül Comparison of Ultrasound Versus Ultrasound with Nerve Stimulator-Guided Infraclavicular Block Anesthesia Methods in Pediatric Patients Medicina analgesia anesthesia brachial plexus block nerve block upper extremity patients |
| title | Comparison of Ultrasound Versus Ultrasound with Nerve Stimulator-Guided Infraclavicular Block Anesthesia Methods in Pediatric Patients |
| title_full | Comparison of Ultrasound Versus Ultrasound with Nerve Stimulator-Guided Infraclavicular Block Anesthesia Methods in Pediatric Patients |
| title_fullStr | Comparison of Ultrasound Versus Ultrasound with Nerve Stimulator-Guided Infraclavicular Block Anesthesia Methods in Pediatric Patients |
| title_full_unstemmed | Comparison of Ultrasound Versus Ultrasound with Nerve Stimulator-Guided Infraclavicular Block Anesthesia Methods in Pediatric Patients |
| title_short | Comparison of Ultrasound Versus Ultrasound with Nerve Stimulator-Guided Infraclavicular Block Anesthesia Methods in Pediatric Patients |
| title_sort | comparison of ultrasound versus ultrasound with nerve stimulator guided infraclavicular block anesthesia methods in pediatric patients |
| topic | analgesia anesthesia brachial plexus block nerve block upper extremity patients |
| url | https://www.mdpi.com/1648-9144/61/6/985 |
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