J Korean Soc Surg Hand.  2014 Mar;19(1):13-18. 10.12790/jkssh.2014.19.1.13.

The Efficacy of Ultrasound-Guided Brachial Plexus Block in Trauma Patients

• Rah JH
• Kwon SM
• Cha JH
• Lee JP
• Kim JH

• KMID: 1896922
• DOI: http://doi.org/10.12790/jkssh.2014.19.1.13

Abstract

PURPOSE
We evaluated the efficacy of brachial plexus block under the guide of ultrasonography for immediate management of open wound in patients with multiple trauma.
METHODS
From July 2012 to April 2013, 34 patients with multiple trauma had brachial plexus block for immediate management of open wound in the upper extremity. We evaluated the patient satisfaction of the anesthesia and any complications related to the block.
RESULTS
During the brachial plexus block, intravascular injection of lidocaine occurred in one patient. Except this, all patients who received brachial plexus replied they would choose brachial plexus block if they had to undergo the same surgery.
CONCLUSION
Brachial plexus block is an effective anesthesia technique in the immediate management of open wound in upper extremities.

Keyword

Trauma; Ultrasound; Brachial plexus block

MeSH Terms

Anesthesia
Brachial Plexus*
Humans
Lidocaine
Multiple Trauma
Patient Satisfaction
Ultrasonography
Upper Extremity
Wounds and Injuries
Lidocaine

Figure

• 

  Fig. 1. Prepare for BPB. Mixed 1 % lidocane 20 mL, bupivacane 20 mL, and normal saline 10 mL for BPB injection. BPB, brachial plexus block.

• 

  Fig. 2. Procedure BPB with ultrasono. By using ultrasono, find median nerve, radial nerve, ulna nerve and muscular cutaneous nerve, injection mixed fluid at median nerve, radial nerve, ulna nerve- each 10 mL, and injection muscular cutaneous nerve 5 mL. BPB, brachial plexus block; MN, median nerve; AA, axial artery; UN, ulna nerve; MCN, muscula cutaneous nerve; RN, radial nerve.

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