Lateral Trendelenburg with the injected side down after the block improves the efficacy of the axillary approach to brachial plexus block

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dc.authoridColak, Alkin/0000-0001-9103-4844
dc.authorwosidSevdi, Mehmet Salih/GZK-4961-2022
dc.authorwosidColak, Alkin/R-8739-2017
dc.contributor.authorSevdi, M. Salih
dc.contributor.authorGunday, Isil
dc.contributor.authorArar, Cavidan
dc.contributor.authorColak, Alkin
dc.contributor.authorTuran, Nesrin
dc.date.accessioned2024-06-12T11:13:28Z
dc.date.available2024-06-12T11:13:28Z
dc.date.issued2014
dc.departmentTrakya Üniversitesien_US
dc.description.abstractWe hypothesized that, after axillary block, positioning the patient in a lateral position with the injected side down and simultaneously in a 20A degrees Trendelenburg position will increase the success rate and quality of the block. Fifty patients with chronic renal failure (ASA 2-3) scheduled for arteriovenous fistula surgery were included in this study. In all patients, 30-40 ml of 0.25 % levobupivacaine were injected into the axillary sheath. The block was performed as three injections (multiple injection technique) with the arm in 90A degrees abduction and 90A degrees flexion in the supine position. Patients were randomly allocated to two groups. Group I (n = 25) patients were kept in the supine position after the block. Group II (n = 25) patients were positioned laterally after the block with the injected arm down and in a 20A degrees Trendelenburg position. Sensory and motor block were evaluated at 2, 4, 6, 8, 10, 15, 20, and 25 min after the administration of the block. Thus, the patients in group II were evaluated in a lateral position during the first 30 min. Throughout the surgery and the recovery period, sensory and motor block were evaluated at 30-min intervals. There were no significant intergroup differences in the effects on radial, ulnar, median, and musculoskeletal nerve blockade. Thirty minutes after the injection, the patients in group II had higher levels of sensory axillary nerve blockade. Subscapular and thoracodorsal nerve motor block were not detected in group I, while 84 % of the patients in group II experienced blockade of both of these nerves (p < 0.01). We conclude that, for patients undergoing an axillary block, positioning the patient laterally with the injected side down and in a 20A degrees Trendelenburg position increases the success rate and quality of the block.en_US
dc.identifier.doi10.1007/s00540-013-1766-6
dc.identifier.endpage543en_US
dc.identifier.issn0913-8668
dc.identifier.issn1438-8359
dc.identifier.issue4en_US
dc.identifier.pmid24370820en_US
dc.identifier.scopus2-s2.0-84905913658en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage538en_US
dc.identifier.urihttps://doi.org/10.1007/s00540-013-1766-6
dc.identifier.urihttps://hdl.handle.net/20.500.14551/23565
dc.identifier.volume28en_US
dc.identifier.wosWOS:000340520600010en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringer Japan Kken_US
dc.relation.ispartofJournal Of Anesthesiaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectRegional Anesthesiaen_US
dc.subjectAxillary Blocken_US
dc.subjectPositionsen_US
dc.subjectTrendelenburgen_US
dc.subjectArm Positionen_US
dc.subjectFunctional-Anatomyen_US
dc.subjectSheathen_US
dc.titleLateral Trendelenburg with the injected side down after the block improves the efficacy of the axillary approach to brachial plexus blocken_US
dc.typeArticleen_US

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