A comparative study between bier’s block and supraclavicular brachial plexus block for upper limb below elbow surgeries

• Published in: International journal of health sciences pp. 48409 - 48423
• Main Authors: Hussain, Syed Asrar, Hussain, Mohammed Mohib, Aziz, Mohammed Irfan
• Format: Journal Article
• Language: English
• Published: 02.11.2022
• ISSN: 2550-6978; 2550-696X
• DOI: 10.53730/ijhs.v6nS7.13581

Background: Present clinical study was conducted to evaluate the onset of analgesia, degree of sensory and motor blockade, duration of analgesia and complications between supraclavicular brachial plexus block and IVRA. Aim: The aim of this study is therefore to determine a superior method between Bier’s block and supraclavicular brachial plexus block for upper limb below elbow surgery. Methods: The study was conducted on patient’s posted for various elective or emergency surgeries of the upper limb below elbow. The subjects were divided into two groups, Group 1 receiving supraclavicular brachial plexus block with 1% lignocaine with adrenaline, 0.6 mg/kg body weight and Group 2 receiving IVRA with 0.5% lignocaine 0.5ml/kg body weight. Patient’s vital parameters were monitored throughout the procedure. A thorough observation was made on onset, quality, duration of analgesia, degree of motor blockade and return of sensation after release of torniquet. Result: onset of analgesia for supraclavicular brachial plexus block is 11.8+/- 1.6 minutes whereas for IVRA it was 3.3+/- 0.8 minutes clearly indicating the early onset of analgesia with IVRA. Conclusion: IVRA appears to be a better alternative with regards to onset, quality of analgesia and degree of motor blockade.