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Introduction: The study contrasts peripheral nerve stimulator-guided and ultrasound-guided techniques for supraclavicular brachial plexus block in upper limb surgeries. Ultrasound guidance offers real-time nerve visualization and precise needle placement, reducing complications. Conversely, peripheral nerve stimulator methods may carry higher risks and lower success rates. By assessing success rates, complications, and patient satisfaction, the research aims to offer evidence-based recommendations for anesthesia practice. These findings contribute to refining techniques, enhancing patient safety, and optimizing surgical outcomes in regional anesthesia.Aims: This study was carried out with the objective of comparing the Supraclavicular brachial plexus block by using Peripheral nerve stimulator and Ultrasound guided technique for upper limb surgeries.Objectives: To compare 1. Block execution time2. Time of onset of sensory and motor block3. Time to achieve complete sensory and motor block4. Duration of sensory and motor block5. Success rate of block procedure6. Incidence of complications7. Time to first analgesic requestMethodology: This prospective, randomized trial consists of total 60 patient undergoing elective upper limb surgery. Informed consent from patients taken, involving thorough preoperative assessments of 60 adult patients meeting inclusion criteria. Inclusion criteria encompassed factors like normal sensory and motor functions, specific age range, ASA physical status, and surgery type. Exclusion criteria included contraindications such as allergies, pregnancy, and comorbidities. Pre-anesthetic checks, patient education, and consent procedures were meticulously performed. Patients were divided into two groups for ultrasound-guided and peripheral nerve stimulator-guided supraclavicular block techniques. Detailed operational protocols, including OT preparation and equipment setup, were adhered to. Hemodynamic monitoring and data collection included parameters like block execution time, onset and duration of blockade, success rates, complications, and time to analgesic request.Results: Ultrasound-guided brachial plexus block demonstrated superior efficacy, including stable hemodynamics, quicker onset, prolonged duration, and fewer complications compared to peripheral nerve stimulator-guided technique in upper limb surgeries.Conclusion: Ultrasound-guided supraclavicular brachial plexus block proves superior in efficiency, accuracy, and safety. Future advancements depend on balancing clinical benefits with equipment costs.
Rathod et al. (Mon,) studied this question.