Comparison of 3 intensities of stimulation threshold for brachial plexus blocks at the midhumeral level: A prospective, double-blind, randomized study

Regional Anesthesia and Pain Medicine

Volumn 34, Issue 4, 2009, Pages 296-300

  Cuvillon, Philippe ^a   Dion, Nicolas ^b   Deleuze, Michel ^a   Nouvellon, Emmanuel ^a   Mahamat, Aba ^c,d   L'Hermite, Joel ^a   Boisson, Christophe ^a   Vialles, Nathalie ^a   Ripart, Jacques ^a   De La Coussaye, Jean Emmanuel ^a  

^a DEPARTMENT OF NEUROLOGY   (France)

^b LAVAL UNIVERSITY   (Canada)

^c UNIV MONTPELLIER   (France)

^d De artement Informatique Med icale   (France)

Author keywords

[No Author keywords available]

Indexed keywords

ROPIVACAINE;

ADULT; AGED; ARTICLE; BRACHIAL PLEXUS; BRACHIAL PLEXUS ANESTHESIA; CLINICAL TRIAL; COMPARATIVE STUDY; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DOUBLE BLIND PROCEDURE; ELECTRIC CURRENT; FEMALE; HAND SURGERY; HUMAN; INJECTION SITE; MAJOR CLINICAL STUDY; MALE; MEDIAN NERVE; MUSCLE CONTRACTION; NEEDLE; NERVE STIMULATION; PRIORITY JOURNAL; RADIAL NERVE; RANDOMIZED CONTROLLED TRIAL; ULNAR NERVE;

ADULT; AGED; AGED, 80 AND OVER; BRACHIAL PLEXUS; DOUBLE-BLIND METHOD; ELECTRIC STIMULATION; FEMALE; HAND; HUMANS; MALE; MIDDLE AGED; NERVE BLOCK; PAIN THRESHOLD; PROSPECTIVE STUDIES; TIME FACTORS; YOUNG ADULT;

EID: 70350138021     PISSN: 10987339     EISSN: None     Source Type: Journal    
DOI: 10.1097/AAP.0b013e3181ad6e23     Document Type: Article

References (20)

1. Urmey WF, Grossi P. Use of sequential electrical nerve stimuli (SENS) for location of the sciatic nerve and lumbar plexus. Reg Anesth Pain Med. 2006;31: 463-469.
2. Gray AT. Ultrasound-guided regional anesthesia. Current state of the art. Anesthesiology. 2006;104: 368-373.
3. Liguori GA, Zayas VM, YaDeau JT, Kahn RL, Paroli L, Buschiazzo V, et al. Nerve localization techniques for interscalene brachial plexus block: a prospective randomized comparison of mechanical paresthesia versus electrical stimulation. Anesth Analg. 2006;103: 761-767.
4. Perlas A, Chan VW, Simons M. Brachial plexus examination and localization using ultrasound and electrical stimulation: a volunteer study. Anesthesiology. 2003;99: 429-435.
5. Vloka JD, Hadzic A. The intensity of the current at which sciatic nerve stimulation is achieved is a more important factor in determining the quality of nerve block than the type of motor response obtained. Anesthesiology. 1998;88: 1408-1411.
6. Carles M, Pulcini A, Macchi P, Duflos P, Raucoules-Aime M, Grimaud D. An evaluation of the brachial plexus block at the humeral canal using a neurostimulator (1417 patients): the efficacy, safety, and predictive criteria of failure. Anesth Analg. 2001;92: 194-198.
7. Benzon HT, Kim C, Benzon HP, Silverstein ME, Jericho B, Prillaman K, et al. Correlation between evoked motor response of the sciatic nerve and sensory blockade. Anesthesiology. 1997;87: 547-552.
8. Sia S, Lepri A, Campolo MC, Fiaschi R. Four injection brachial plexus block using peripheral nerve stimulator: a comparison between axillary and humeral approaches. Anesth Analg. 2002;95: 1075-1079.
9. Marhofer P, Oismul̈ler C, Faryniak B, Sitzwohl C, Mayer N, Kapral S. Three in one blocks with ropivacaine: evaluation of sensory onset time and quality of sensory block. Anesth Analg. 2000;90: 125-128.
10. Perlas A, Niazi A, McCartney C, Chan V, Xu D, Abbas S. The sensitivity of motor response to nerve stimulation and paresthesia for nerve localization as evaluated by ultrasound. Reg Anesth Pain Med. 2006;31: 445-450.
11. Tsai TP, Vuckovic I, Dilberovic F, Obhodzas M, Kapur E, Divanovic KA, et al. Intensity of the stimulating current may not be a reliable indicator of Intraneural needle placement. Reg Anesth Pain Med. 2008;33: 207-210.
12. Dupré LJ. Bloc du plexus brachail au canal humral. Cah Anesthesiol. 1994;42: 767-769.
13. Gaertner E, Kern O, Mahoudeau G, Freys G, Golfetto T, Calon B. Block of the brachial plexus branches by the humeral route. A prospective study in 503 ambulatory patients. Proposal of a nerve-blocking sequence. Acta Anaesthesiol Scand. 1999;43: 609-613.
14. Cappeleri G, Aldegheri G, Ruggieri F, Mamo D, Fanelli G, Casati A. Minimum effective anesthetic concentration (MEAC) for sciatic nerve block: subgluteus and popliteal approaches. Can J Anaesth. 2007;54: 283-289.
15. Iskandar H, Guillaume E, Dixmeŕias F, Binje B, Rakotondriamihary S, Thiebaut R, et al. The enhancement of sensory blockade by clonidine selectively added to mepivacaine after midhumeral block. Anesth Analg. 2001;93: 771-775.
16. Sung DH. Locating the target nerve and injectate spread in rabbit sciatic nerve block. Reg Anesth Pain Med. 2004;29: 194-200.
17. Ganesh A, Cucchiaro G. Evidence nerve puncture during ultrasound guided peripheral nerve blocks. Anesthesiology. 2007;106: 1246-1247.
18. Urmey WF, Stanton J. Inability to consistently elicit a motor response following sensory paresthesia during interscalene block administration. Anesthesiology. 2002;96: 552-554.
19. Chan VW, Brull R, McCartney CJ, Xu D, Abbas S, Shannon P. An ultrasonographic and histological study of intraneural injection and electrical stimulation in pigs. Anesth Analg. 2007;104: 1281-1284.
20. Chin KJ, Perlas A, Chan VW. Needle visualization in ultrasound-guided regional anesthesia: challenges and solutions. Reg Anesth Pain Med. 2008;33: 532-544.