지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 179 - 184 (6page)
이용수
초록· 키워드
오류제보하기
Background: Recently, ultrasound has been commonly used. Ultrasound-guided interscalene brachial plexus block (IBPB) by posterior approach is more commonly used because anterior approach has been reported to have the risk of phrenic nerve injury. However, posterior approach also has the risk of causing nerve injury because there are risks of encountering dorsal scapular nerve (DSN) and long thoracic nerve (LTN). Therefore, the aim of this study was to evaluate the risk of encountering DSN and LTN during ultrasound-guided IBPB by posterior approach. Methods: A total of 70 patients who were scheduled for shoulder surgery were enrolled in this study. After deciding insertion site with ultrasound, awake ultrasound-guided IBPB with nerve stimulator by posterior approach was performed. Incidence of muscle twitches (rhomboids, levator scapulae, and serratus anterior muscles) and current intensity immediately before muscle twitches disappeared were recorded.Results: Of the total 70 cases, DSN was encountered in 44 cases (62.8%) and LTN was encountered in 15 cases (21.4%). Both nerves were encountered in 10 cases (14.3%). Neither was encountered in 21 cases (30.4%). The average current measured immediately before the disappearance of muscle twitches was 0.44 mA and 0.50 mA at DSN and LTN, respectively.Conclusions: Physicians should be cautious on the risk of injury related to the anatomical structures of nerves, including DSN and LTN, during ultrasound-guided IBPB by posterior approach. Nerve stimulator could be another option for a safer intervention. Moreover, if there is a motor response, it is recommended to select another way to secure better safety. (Korean J Pain 2016; 29: 179-84)
목차
등록된 정보가 없습니다.
참고문헌 (11)
참고문헌 신청
Kessler J / 2008 / An ultrasound study of the phrenic nerve in the posterior cervical triangle : implications for the interscalene brachial plexus block / Reg Anesth Pain Med 33:545~550
김현정 / 2014 / Brachial Plexus Injury as a Complication after Nerve Block or Vessel Puncture / The Korean Journal of Pain 27(3):210~218
Lee LA / 2005 / Complications associated with peripheral nerve blocks : lessons from the ASA closed claims project / Int Anesthesiol Clin 43:111~118
김연동 / 2015 / Review of Medical Dispute Cases in the Pain Management in Korea: A Medical Malpractice Liability Insurance Database Study / The Korean Journal of Pain 28(4):254~264
Mian A / 2014 / Brachial plexus anesthesia: a review of the relevant anatomy, complications, and anatomical variations / Clin Anat 27:210~221
김현정 / 2014 / Brachial Plexus Injury as a Complication after Nerve Block or Vessel Puncture / The Korean Journal of Pain 27(3):210~218
Lee LA / 2005 / Complications associated with peripheral nerve blocks : lessons from the ASA closed claims project / Int Anesthesiol Clin 43:111~118
김연동 / 2015 / Review of Medical Dispute Cases in the Pain Management in Korea: A Medical Malpractice Liability Insurance Database Study / The Korean Journal of Pain 28(4):254~264
Mian A / 2014 / Brachial plexus anesthesia: a review of the relevant anatomy, complications, and anatomical variations / Clin Anat 27:210~221
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