Comparison of Three Methods of Regional Anesthesia of Peripheral Nerves and Plexuses


Aim: There were acquitted 1105 nerve blocks on 762 patients by means of three methods of peripheral nerves and plexuses identification to compare the safety and efficiency of the methods of regional anesthesia. Methods: Depending on the technique of carrying out the peripheral nerve blocks, patients were divided into 3 groups. 1st group: the identification of the correct placement of the injection needle was done by eliciting paresthesia (572 blocks were performed on 395 patients); 2nd group: an electrical nerve stimulator was used to locate the nerve (164 blocks on 110 patients); 3rd group: the location of the nerve was identified using ultrasonic visual guidance (369 blocks on 257 patients). Results and Conclusion: In 1st group 8 (1.4%) accidental intravascular injections of local anesthetic, 1 case of Horner syndrome (0.17%), 1 case of phrenical nerve were registered. In 17 cases there were performed other methods of anesthesia by reason of inefficiency of the block. In 2nd group 1 case (0.61%) of intravascular injection was noticed. The block was ineffective in single case. There was no complication received in the 3rd group. All the blocks were effective.

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V. Piacherski, A. Marochkov, A. Brukhnou and Z. Kokhan, "Comparison of Three Methods of Regional Anesthesia of Peripheral Nerves and Plexuses," Open Journal of Anesthesiology, Vol. 2 No. 5, 2012, pp. 237-243. doi: 10.4236/ojanes.2012.25056.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] M. Malroj, “Regional Anaesthesia: Illustrated Practice Book,” 3rd Edition, Wolters Kluwer/LippincottWilliams & Wilkins, Philadelphia, 2002, p. 333.
[2] G.-J. van Geffen, “The Value of Ultrasonography for Performing Peripheral Nerve Blocks,” Theory, Practice and Clinical Experience in Adults and Children, Optima Grafische Communicatie, Rotterdam, 2008, pp. 234-279.
[3] M. K. Son, R. K. Chung, Y. J. Kim, D. Y. Kim, H. S. Lee and J. I. Han, “The Effects of Local Anesthetic Distribution on Symptoms Using Ultrasound Image after Stellate Ganglion Ock,” Korean Journal of Anesthesiology, Vol. 57, No. 5, 2009, pp. 579-583. doi:10.4097/kjae.2009.57.5.579
[4] H. T. De Quang, R. Gianluca, M. Loreto, Z. Cedrick and J. F. Roderick, “A Prospective, Randomized Comparison between Single- and Double-Injection Ultrasound-Guided Infraclavicular Brachial Plexus Block,” Regional Anesthesia & Pain Medicine, Vol. 35, 2010, pp. 16-21.
[5] J. H. Ramphell, M. N. Joseph and M. V. Cristopher, “Regional Anaesthesia: The Requisites in Anaesthesiology,” Elsevier Mosby, Maryland Heights, 2004, p. 218.
[6] J. E. Chelly, “Peripherial Nerve Blocks: A Color Atlas,” 3rd Edition, Wolters Kluwer/LippincottWilliams & Wilkins, Philadelphia, 2009, pp. 1-474.
[7] G. Duke, “AnaesthesiaSecres,” 4th Edition, Elsevier Mosby, Maryland Heights, 2011, p. 574.
[8] P. Marhofer, W. Harrop-Griffiths et al., “Fifteen Years of Ultrasound Guidance in Regional Anaesthesia: Part 1,” British Journal of Anaesthesia, Vol. 104, No. 5, 2010, pp. 538-546. doi:10.1093/bja/aeq069

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