Comparison of para-vascular supraclavicular brachial plexus block and costo-clavicular approach of infraclavicular brachial plexus block in providing surgical anesthesia for below elbow surgery: a randomized, single blind study

Abstract Background With better precision of the brachial plexus block (BPB) under real-time ultrasound guidance, supraclavicular BPB (SC-BPB) and infraclavicular (IC-BPB) are being used interchangeably for upper limb surgeries. However, number anesthesiologists practicing SC-BPB is much more than those IC-BPB. Many studies have compared IC-BPB, but a study comparing para-vascular approach costo-clavicular IC-BPB missing. This prospective with SC-BPB. A total 80 patients (40 in each group), aged 18–65 years, belonging to ASA class I II undergoing hand, wrist forearm surgery were randomly allocated group S (receiving SC-BPB) IC-BPB). The two groups respect success rate, performance time, time taken achieve surgical anesthesia, efficacy, safety providing anesthesia below elbow Results Block was significantly higher (100%) vs (92.5%), P value 0.03. Scan SC-BPB, 0.001. comparable; longer Time first rescue analgesia 0. 001. requiring intraoperative sedation comparable, 0.99. Conclusions has greater rate surgeries provides postoperative analgesia.