Surgeon Administered Regional Anaesthetic Blocks For Hand Surgery In Resource Limited Areas
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Date
2011Author
Kigera, JWM
Schenck, R
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
Introduction: The axillary block was described more than sixty years
ago and has since been used in a variety of scenarios. Recently it has
been described with the use of ultrasound and nerve stimulators.
These facilities are not available in resource limited areas.
Methods: We describe the simple, but effective, perivascular axillary
block technique we have used for regional anaesthetic blocks for hand
surgery. We also undertook a prospective cohort study of all patients
undergoing hand surgery under this regional block technique at Mulago
Hospital. We abstracted the drug and dosage used, delay in onset
of action and duration of action data for each patient. We excluded
patients younger than 12 years. All cases with attempted blocks were
included.
Results: The success rate of the procedure was 77.8%. The mean delay
in onset of action was 20 minutes with an average duration of action
of 99 minutes. The commonest drug used was Mepivacaine with a
mean dosage of 333.3mg.
Discussion and conclusion: This technique is reliable with a high
success rate. It has few complications and can be used in areas without
ultrasound or nerve stimulators.
URI
http://profiles.uonbi.ac.ke/jameskigera/publications/surgeon-administered-regional-anaesthetic-blocks-hand-surgery-resource-limihttp://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/47294
Citation
July 2011 • Volume 8 • Th e ANNALS of AFRICAN SURGERYPublisher
College of Health Sciences, University of Nairobi
Collections
- Faculty of Health Sciences (FHS) [10378]