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ISSN 1729-6935 (Electronic)
16 de abril

2022, Number 284

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16 de abril 2022; 61 (284)

Brachial plexus block by vertical coracoid approach in upper limb surgery

Cecilia-Paredes EE, Santalla-Corrales A, Vitón-Castillo AA, Sánchez-Capote HR, Cecilia-Paredes, Travieso-Téllez Y

Language: Spanish
References: 16
Page: 1-7
PDF size: 345.71 Kb.


ABSTRACT

Introduction: the brachial plexus block is a local anesthesia technique in upper limb surgery with a low incidence of complications and a prolonged period of analgesia. Objective: to evaluate the efficacy of the vertical coracoid technique to approach the brachial plexus in upper limb surgery. Method: an observational, analytical, longitudinal and prospective study was carried out in the Anesthesiology and Resuscitation, Orthopedics-Traumatology, and Angiology services of the Abel Santamaría Hospital in Pinar del Río, between 2019 and 2020. The population consisted of 60 patients, distributed in 3 groups; it was studied in its entirety. A descriptive analysis of the data was performed. Results: 24 patients (40%) were between 31 and 40 years old, 42 males (70%), 35 in grade II of the risk classification of the American Society of Anesthesiologists (58.33%), and 70 had elective surgery (80%). Isolated ulna and radius fractures prevailed with 13 patients each (21.66%). 60% of group III presented a latency period of fewer than 15 minutes (12 patients). Group III analgesia was superior after 8 and 16 postoperative hours, with 18 (90%) and 7 (35%) patients, respectively. Nausea was the main complication (26.66%). Conclusions: the brachial plexus block through the vertical coracoid route shows better effectiveness in upper limb surgery compared to the axillary route and general anesthesia, as it presents less latency time and greater postoperative analgesia.


REFERENCES

  1. Medina Yagual DH, Jacome Vera KG, Yagual Hidalgo JE. Utili- dad de la ecografía en la anestesia regional. RECIAMUC [Internet]. 2022[citado 06/06/2022];6(2):124-32. Disponibleen: https://www.reciamuc.com/index.php/RECIAMUC/article/view/840

  2. Peña Malo CM, Gómez AyalaA. Bloqueos de plexos en anestesiay analgesia para Enfermería.OCRONOS [Internet]. 2021 [citado06/06/2022];4(5):145. Disponibleen: https://revistamedica.com/bloqueos-plexos-enfermeria/

  3. Arribas Blanco J, RodríguezPata N, Esteve Arrola B, Beltrán MartínM. Anestesia local y locorregional encirugía menor. SEMERGEN [Internet].2001 [citado 06/06/2022];27(9):471-481. Disponible en: https://www.elsevier.es/es-revista-medicina-familia-semergen-40-articulo-anestesia-local-locorregional-cirugia-menor-13020294

  4. Luna Arnez JC, ArosteguiBustillos P, Alanes FernándezÁMC. Bloqueo del nervio supraescapulare hidrodilatación en capsulitisadhesiva del hombro. Rev.Méd. La Paz [Internet]. 2019 [citado24/07/2022];25(2):47-53. Disponibleen: http://www.scielo.org.bo/scielo.php?script=sci_arttext&pid=S1726-89582019000200007&lng=es.

  5. Villar T, Pacreu S, ChaveroE, Torrens C, Montes A. Plexopatíabraquial prolongada despuésde un bloqueo interescalénico encirugía de hombro. Rev colombanestesiol. [Internet]. 2019 [citado06/06/2022];47(1):71-75. Disponibleen: https://doi.org/10.1097/cj9.0000000000000086

  6. Núñez-Mendoza JR, Monroy-Álvarez CJ, Torres-MaldonadoAS, Isais-Millán RP. Intervencionismoguiado por ultrasonido para extremidadsuperior en dolor postoperatorio.Rev mex anestesiol [Internet]. 2019[citado 06/06/2022]; 42(3):235-244.Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0484-79032019000300235&lng=es

  7. Lenis-Chacón FJ, RodríguezCastro NI, Cordoví de Armas L, CorderoEscobar I, Díaz Mora I. Bloqueo delplexo braquial por vía supraclaviculary axilar guiados por ultrasonido. Revcuba anestesiol reanim [Internet].2017 [citado 06/06/2022];16(1):1-13. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1726-67182017000100007&lng=es

  8. Bastarrechea Milián MM, RodríguezSoto A, Morales Navarro D.Riesgo médico en pacientes estomatológicossegún la clasificación ASA.Rev haban cienc méd [Internet]. 2020[citado 24/07/2022];19(3):e3032.Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1729-519X2020000300007&lng=es.

  9. Solís de la Paz D, Vera DíazI, García García GL, González ÁlvarezY, Ricardo Morell IM. Utilidad delempleo de mepivacaína-fentanilo enel bloqueo del plexo braquial vía axilarpara la analgesia postoperatoria.Rev Med Electrón [Internet]. 2018[citado 06/06/2022];40(3):638-647.Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1684-18242018000300006&lng=es

  10. Cunha-Ferraro L, Takeda A,Barreto CN, Faria B, Assunção NA.Randomized prospective study ofthree different techniques for ultrasound-guided axillary brachial plexusblock. Braz jour of anesthe [Internet].2018 [citado 06/06/2022];68(1):62-68. Disponible en: https://doi.org/10.1016/j.bjan.2017.04.014

  11. Bastarrechea Milián MM, RodríguezSoto A, Morales Navarro D.Riesgo médico en pacientes estomatológicossegún la clasificación ASA.Rev haban cienc méd [Internet]. 2020[citado 06/06/2022];19(3):e3032.Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1729-519X2020000300007&lng=es

  12. Peixoto CA, Ferreira MBG,Felix MMS, Pires PS, Barichello E, BarbosaMH. Risk assessment for perioperativepressure injuries. Rev Latino-Am Enfermagem [Internet]. 2019[citado 07/06/2022];27(1):e3117.Disponible en: http://dx.doi.org/10.1590/1518-8345.2677-3117

  13. Ferraro L, Takeda A, BarretoCN, Faria B, Assunção NA. Efeitosfarmacocinéticos e clínicos de duasconcentrações de bupivacaína nobloqueio do plexo braquial via axilar.Braz jour of anesthe [Internet]. 2018[citado 07/06/2022];68(2):115–121. Disponible en: https://doi.org/10.1016/j.bjan.2017.09.001

  14. Pérez Delgado N, CantilloImbert D, Navarro Labañino Y.Anestésicos locales. Generalidades.Rev Inf Cient [Internet]. 2009 [citado07/06/2022]; 61(1):1-15. Disponibleen: https://www.redalyc.org/articulo.oa?id=551757317012

  15. Guamba Leiva JMMA, HerreraGarcía RJ, Gallardo Aluisa SG,Morales Cajas EL, Pazmiño Jara JD.Manejo del dolor en el postoperatoriode cirugías articulares. Nuevosenfoques. Rev Cuba Reumatol [Internet].2019 [citado 07/06/2022];21(1):e59. Disponible en: http://dx.doi.org/10.5281/zenodo.2555861

  16. Rascón-Martínez DM, Rojas-Vera AF. Analgesia preventivaen el dolor postoperatorio. Rev mexanestesiol [Internet]. 2019 [citado07/06/2022]; 42(3):221-223. Disponibleen: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0484-79032019000300221&lng=es




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