Key result
Ultrasound-guided nerve block combined with a nerve stimulator achieved a 97% success rate in children compared to 63% with a nerve stimulator alone, with no adverse reactions.
Why the study?
To monitor the effect of nerve block in postoperative analgesia more accurately using real-time intelligent ultrasound.
Does ultrasound-guided nerve block combined with a nerve stimulator improve the success rate and safety of postoperative analgesia compared to a nerve stimulator alone in patients undergoing surgery?
Does ultrasound-guided nerve block combined with a nerve stimulator improve the success rate and safety of postoperative analgesia compared to a nerve stimulator alone in patients undergoing surgery?
Absolute Event Rate: 97% vs 63%
Ultrasound-guided nerve block combined with a nerve stimulator significantly improves the success rate and safety of postoperative analgesia compared to using a nerve stimulator alone.
May enhance nerve block safety monitoring; hypothesis-generating and should not yet change practice.
In order to monitor the effect of nerve block in postoperative analgesia more accurately, this paper puts forward the application research of ultrasonic real-time intelligent monitoring of nerve block in postoperative analgesia. Ultrasonic real-time intelligent monitoring of nerve block in upper limb surgery, lower limb surgery, and abdominal surgery combined with the nerve stimulator. The experiments show that there are 5 cases of adverse reactions when the nerve stimulator is only used, but no adverse reactions occur when combined with ultrasound-guided block. Continuous subclavian brachial plexus block with the ultrasound-guided nerve stimulator can clearly see the subclavian brachial plexus and its surrounding tissue structure, the direction of needle insertion in the plane, and the diffusion of narcotic drugs. The average success rate of block was up to 95.2%, which was significantly higher than that of nerve stimulator alone, and the success rate of recatheterization after the first failure was also improved. The average postoperative analgesia satisfaction was 85.6%, the average operation time was only 20 min, and the subclavian artery and pleura were avoided effectively. No pneumothorax and other complications occurred. The average success rate of ultrasound-guided subclavicular brachial plexus block in 1-2-year-old children was 97%, which was much higher than the average success rate of nerve stimulator localization with 63%. Ultrasound-guided nerve block not only directly blocks nerves under visual conditions but also helps to observe the structures around nerves and dynamically observe the diffusion of local anesthetics, which can significantly improve the accuracy and success rate of nerve block and reduce the incidence of complications.
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Li et al. (2021) studied Postoperative analgesia. Ultrasound-guided nerve block combined with nerve stimulator vs. Nerve stimulator alone was evaluated on Success rate of subclavicular brachial plexus block in 1-2-year-old children. Ultrasound-guided nerve block combined with a nerve stimulator achieved a 97% success rate in children compared to 63% with a nerve stimulator alone, with no adverse reactions.
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