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March 17, 2006Anesthesia & Analgesia

Supraclavicular Block in the Obese Population: An Analysis of 2020 Blocks

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Key result

Obesity (BMI ≥30) was associated with a slightly lower success rate of supraclavicular block compared to non-obese patients (94.3% vs 97.3%, P<0.01), with no difference in acute complications.

Why the study?

Does obesity affect the success rate and acute complications of supraclavicular block?

Population

2020 patients receiving supraclavicular block, categorized as obese (BMI ≥30) or non-obese

Comparison

Supraclavicular block in obese patients (BMI ≥30) vs Supraclavicular block in non-obese patients

Design

Cohort

Authors

CFCarlo D. FrancoUniversity of PisaFGFeodor J. GlossGVGennadiy VoronovRush University Medical Center

Discussion

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Member takes

Overview

Supports supraclavicular block feasibility in obesity with high success and no added complications; leaves open prospective evaluation of technique refinements.

Study Design

Type

Cohort (n=2,020)

Structured PICO

Does obesity affect the success rate and acute complications of supraclavicular block?

P
Population
2,020 supraclavicular blocks analyzed to determine the influence of obesity (BMI ≥30) on block success rate.
E
Exposure
Supraclavicular block in obese patients (BMI ≥30)
C
Comparator
Supraclavicular block in non-obese patients
O
Outcome
Success rate of the supraclavicular block

Main Result

Absolute Event Rate: 94.3% vs 97.3%

p-value: p=<0.01

Supraclavicular block is highly successful in both obese and non-obese populations, with only a slight decrease in success rate and increased difficulty in obese patients, and no difference in acute complications.

Cite This Study

Franco et al. (2006) conducted a cohort in Patients requiring regional anesthesia (n=2,020). Obesity (BMI ≥30) vs. Non-obese patients was evaluated on Overall success rate of supraclavicular block (p=<0.01). Obesity (BMI ≥30) was associated with a slightly lower success rate of supraclavicular block compared to non-obese patients (94.3% vs 97.3%, P<0.01), with no difference in acute complications.

synapsesocial.com/papers/6a973c48d002c28d9989d596https://doi.org/10.1213/01.ane.0000198341.53062.a2
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Influence of Obesity on Surgical Regional Anesthesia in the Ambulatory Setting: An Analysis of 9,038 Blocks2004 · 185 citations
  2. 2Quantitative Analysis of Respiratory, Motor, and Sensory Function After Supraclavicular Block1998 · 96 citations
  3. 31,001 subclavian perivascular brachial plexus blocks: Success with a nerve stimulator2000 · 148 citations
  4. 4Quantitative Analysis of Respiratory, Motor, and Sensory Function After Supraclavicular Block1998 · 101 citations