Case Control Study
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 6, 2020; 8(11): 2137-2143
Published online Jun 6, 2020. doi: 10.12998/wjcc.v8.i11.2137
Clinical application of ultrasound-guided selective proximal and distal brachial plexus block in rapid rehabilitation surgery for hand trauma
Jin Zhang, Man Li, Hai-Bin Jia, Lan Zhang
Jin Zhang, Man Li, Hai-Bin Jia, Lan Zhang, Department of Anesthesiology, Sichuan Orthopedic Hospital, Chengdu 610041, Sichuan Province, China
Author contributions: Zhang J, Li M, Jia HB, and Zhang L contributed equally to the design of the manuscript and data analysis; all authors contributed to the writing and revising of the manuscript.
Institutional review board statement: The study was approved by the Ethics Committee of Sichuan Orthopedic Hospital.
Informed consent statement: All patients gave informed consent to this study.
Conflict-of-interest statement: The authors state that no conflict of interest exists.
Data sharing statement: No additional data available.
STROBE statement: The manuscript has been prepared and revised according to the STROBE statement.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Jin Zhang, MD, Doctor, Department of Anesthesiology, Sichuan Orthopedic Hospital, No. 132, First Ring Road West First Section, Chengdu 610041, Sichuan Province, China. zhangjin987654@126.com
Received: March 29, 2020
Peer-review started: March 29, 2020
First decision: April 22, 2020
Revised: May 11, 2020
Accepted: May 13, 2020
Article in press: May 13, 2020
Published online: June 6, 2020
Processing time: 70 Days and 22.7 Hours
Abstract
BACKGROUND

Anesthesia plays an essential role in the successful surgical procedures for hand trauma. Compared with general anesthesia, brachial plexus block shows lots of benefits for the upper extremity. Specifically, ultrasound-guided selective proximal and distal brachial plexus block may overcome the issues of incomplete block and failure of anesthesia in such circumstances. The present study assessed the efficacy of ultrasound-guided selective proximal and distal brachial plexus block in clinical practice.

AIM

To explore the efficacy of ultrasound-guided selective proximal and distal brachial plexus block in rapid recovery surgery for hand trauma.

METHODS

A total of 68 patients with traumatic hand injuries treated at our hospital from January 2018 to June 2019 were selected. They were divided into an observation group and a control group with 34 patients in each group. The observation group underwent selective brachial plexus block guided by ultrasound and the control group underwent conventional brachial plexus block. The analgesic efficacy, intraoperative complications, wound healing time, and length of hospital stay were compared between the two groups under different anesthesia.

RESULTS

The percentage of cases with analgesia graded as “excellent or very good” was higher in the observation group than in the control group (P < 0.05). Moreover, the incidence of intraoperative complications was lower and the wound healing time and length of hospital stay were shorter in the observation group than in the control group (P < 0.05).

CONCLUSION

Ultrasound-guided selective proximal and distal brachial plexus block has remarkable analgesic efficacy in patients with traumatic hand injuries. It can reduce the incidence of intraoperative complications, promote wound healing, and shorten the length of hospital stay.

Keywords: Selective brachial plexus block; Ultrasound; Hand trauma; Rapid rehabilitation surgery

Core tip: To avoid some of the unpleasant side effects of general anesthesia, brachial plexus block is applied in surgical procedures for hand trauma. In the present study, the efficacy of ultrasound-guided selective proximal and distal brachial plexus block was explored in patients undergoing rapid recovery surgery for hand trauma. The results showed that patients with ultrasound-guided selective proximal and distal brachial plexus block had effective anesthesia and were much less likely to experience complications than those with conventional brachial plexus block.