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Anaesthesiology Intensive Therapy
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3/2024
vol. 56
 
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Original article

Superior trunk versus interscalene brachial plexus block in humerus surgery: a randomised controlled trial

Chandni Sinha
1
,
Poonam Kumari
1
,
Ajeet Kumar
1
,
Amarjeet Kumar
1
,
Abhyuday Kumar
1
,
Ditipriya Bhar
2
,
Arun S.K
3
,
Chethan Vamshi
2

  1. All India Institute of Medical Sciences, Patna, India
  2. All India Institute of Medical Sciences, Delhi, India
  3. Sparsh Hospital Bangalore, India
Anaesthesiol Intensive Ther 2024; 56, 3: 194–198
DOI: https://doi.org/10.5114/ait.2024.142772
Online publish date: 2024/08/30
Article file
- Superior trunk.pdf  [0.12 MB]
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1. Urmey WF, Talts KH, Sharrock NE. One hundred percent incidence of hemidiaphragmatic paresis associated with interscalene brachial plexus anesthesia as diagnosed by ultrasonography. Anesth Analg 1991; 72: 498-503. DOI: 10.1213/00000539-199104000-00014.
2. Urmey WF, McDonald M. Hemidiaphragmatic paresis during interscalene brachial plexus block: effects on pulmonary function and chest wall mechanics. Anesth Analg 1992; 74: 352-357. DOI: 10.1213/00000539-199203000-00006.
3. Burckett-St Laurent D, Chan V, Chin K. Refining the ultrasound-guided interscalene brachial plexus block: the superior trunk approach. Can J Anaesth 2014; 61: 1098-1102. DOI: 10.1007/s12630-014-0237-3.
4. Kang R, Jeong JS, Chin KJ, Yoo JC, Lee JH, Choi SJ, et al. Superior trunk block provides noninferior analgesia compared with interscalene brachial plexus block in arthroscopic shoulder surgery. Anesthesiology 2019; 131: 1316-1326. DOI: 10.1097/ALN.0000000000002919.
5. Vijayakumar V, Ganesamoorthi A, Subramaniyan N, Kasirajan P. Ultrasound-guided superior and middle trunk brachial plexus block with superficial cervical plexus block for shoulder surgeries in high-risk patients: case series. J Med Ultrasound 2020; 28: 185-187. DOI: 10.4103/JMU.JMU_73_19.
6. Mistry T, Dey S, Kalbande JV. Superior trunk block for humerus surgery: application beyond the shoulder analgesia. Saudi J Anaesth 2020; 14: 547-548. DOI: 10.4103/JMU.JMU_73_19.
7. Kim DH, Lin Y, Beathe JC, Liu J, Oxendine JA, Haskins SC, et al. Superior trunk block: a phrenic-sparing alternative to the interscalene block: a randomized controlled trial. Anesthesiology 2019; 131: 521-533. doi: 10.1097/ALN.0000000000002841.
8. El-Boghdadly K, Chin KJ, Chan VWS. Phrenic nerve palsy and regional anesthesia for shoulder surgery: anatomical, physiologic, and clinical considerations. Anesthesiology 2017; 127: 173-191. DOI: 10.1097/ALN.0000000000001668.
9. Renes SH, Rettig HC, Gielen MJ, Wilder-Smith OH, van Geffen GJ. Ultrasound-guided low-dose interscalene brachial plexus block reduces the incidence of hemidiaphragmatic paresis. Reg Anesth Pain Med 2009; 34: 498-502. DOI: 10.1097/AAP.0b013e3181b49256.
10. Riazi S, Carmichael N, Awad I, Holtby RM, McCartney CJ. Effect of local anaesthetic volume (20 vs. 5ml) on the efficacy and respiratory consequences of ultrasound-guided interscalene brachial plexus block. Br J Anaesth 2008; 101: 549-556. DOI: 10.1093/bja/aen229.
11. Lee JH, Cho SH, Kim SH, Chae WS, Jin HC, Lee JS, Kim YI. Ropivacaine for ultrasound-guided interscalene block: 5 mL provides similar analgesia but less phrenic nerve paralysis than 10 mL. Can J Anaesth 2011; 58: 1001-1006. DOI: 10.1007/s12630-011-9568-5.
12. Sun C, Zhang X, Ji X, Yu P, Cai X, Yang H. Suprascapular nerve block and axillary nerve block versus interscalene nerve block for arthroscopic shoulder surgery: a meta-analysis of randomized controlled trials. Medicine (Baltimore) 2021; 100: e27661. DOI: 10.1097/MD.0000000000027661.
13. Kessler J, Schafhalter-Zoppoth I, Gray AT. An ultrasound study of the phrenic nerve in the posterior cervical triangle: Implications for the interscalene brachial plexus block. Reg Anesth Pain Med 2008; 33: 545-550.
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