Application of Ultrasound-guided Intermuscular Sulcus Brachial Plexus Block Combined with Superficial Cervical Plexus Block in Clavicular Fracture Surgery

doi:10.7517/issn.1674-0475.211220

Abstract

Abstract: This paper analyzed the difference in anesthesia effect between ultrasound-guided intermuscular sulcus brachial plexus block combined with superficial cervical plexus block and traditional one-needle method of intermuscular sulcus brachial plexus block combined with superficial cervical plexus block in clavicle fracture surgery. 104 children with clavicular fractures who were to undergo surgical treatment were collected, and a prospective randomized trial plan was used to divide the 104 children with clavicular fractures into an ultrasound group and a traditional group, with 52 children in each group. Compared the effects of nerve block, anesthesia effect, mean arterial pressure (MAP), heart rate (HR), dynamic fluctuation of blood oxygen saturation (SpO₂), muscle strength parameters and adverse reactions caused by two anesthesia methods in the two groups. Comparative analysis of the onset time of sensory and motor blocks showed that the ultrasound group was shorter than the traditional group, while the duration of analgesia and motor block were longer than those of the traditional group (P<0.05). Ultrasound-guided intermuscular sulcus brachial plexus block combined with superficial cervical plexus block had better nerve block effect (P<0.05). The muscle strength of the elbow flexion joint of the children in the ultrasound group was higher than that in the traditional group at 2 h, 6 h, and 12 h after operation (P<0.05). The postoperative complication rate in the ultrasound group was lower than that in the traditional group (P<0.05). Ultrasound-guided intermuscular sulcus brachial plexus block combined with superficial cervical plexus block can perform more accurate operation than traditional one-needle method of intermuscular sulcus brachial plexus block combined with superficial cervical plexus block, with shorter operation time, and better anesthesia effect. As well as the side-effect on muscle strength recovery of children is smaller, and the rate of anesthesia complications is lower.

Key words: ultrasound guidance, clavicular fracture, intermuscular sulcus brachial plexus block, superficial cervical plexus block, anesthetic effect

FU Xiuli, WANG Sen, SUN Zhipeng, LEI Fengqiong, FAN Li. Application of Ultrasound-guided Intermuscular Sulcus Brachial Plexus Block Combined with Superficial Cervical Plexus Block in Clavicular Fracture Surgery[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2022, 40(3): 504-509.

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