Comparison of pulmonary function during interscalene block vs. supraclavicular block: a single-center, double-blind, randomized trial
Backround The supraclavicular plexus block (SCB) and interscalene plexus block (ISB) have the potential to pulmonary function, the duration of the potential remains uncertain. So, we compared the effect of SCB and ISB on pulmonary function, especially the duration time. Methods Ninety-six patients w...
Ausführliche Beschreibung
Autor*in: |
Wang, Jiajia [verfasserIn] |
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E-Artikel |
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Englisch |
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2023 |
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Anmerkung: |
© The Author(s) 2023 |
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Übergeordnetes Werk: |
Enthalten in: BMC anesthesiology - [S.l.] : BioMed Central, 2001, 23(2023), 1 vom: 10. Jan. |
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Übergeordnetes Werk: |
volume:23 ; year:2023 ; number:1 ; day:10 ; month:01 |
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DOI / URN: |
10.1186/s12871-022-01967-0 |
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Katalog-ID: |
SPR051320053 |
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245 | 1 | 0 | |a Comparison of pulmonary function during interscalene block vs. supraclavicular block: a single-center, double-blind, randomized trial |
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520 | |a Backround The supraclavicular plexus block (SCB) and interscalene plexus block (ISB) have the potential to pulmonary function, the duration of the potential remains uncertain. So, we compared the effect of SCB and ISB on pulmonary function, especially the duration time. Methods Ninety-six patients were finally allocated to group I and group S. The ISB and the SCB procedures were performed with ultrasound guidance before anesthesia induction. An investigator recorded the diaphragm mobility and respiratory function test indicators before the block ($ T_{0} $) and at 30 min ($ T_{30 min} $), 4 h ($ T_{4} $), 8 h ($ T_{8} $), and 12 h ($ T_{12} $) after the block. The diaphragmatic paralysis rate was calculated for above timepoint. The VAS, the recovery time for the sensory and motor block, and adverse reactions within 24 h of administering the block were also recorded. Results The recovery times of diaphragm mobility in group I were longer than those in group S. Compared with group I, group S had a significantly lower diaphragmatic paralysis rate during eupnea breathing at $ T_{30 min} $ and $ T_{8} $ after the block. Similarly, group S had a significantly lower diaphragmatic paralysis rate at deep breathing at $ T_{30 min} $, $ T_{8,} $ and $ T_{12} $ after the block. The recovery times of $ FEV_{1} $ and FVC in group I were longer than those in group S. The other results were not statistically significant. Conclusions Ultrasound-guided ISB resulted in a longer periods with a suppressive effect on pulmonary function than SCB. Trials registration 17/12/2019, ChiCTR1900028286. | ||
650 | 4 | |a Brachial plexus block |7 (dpeaa)DE-He213 | |
650 | 4 | |a Pulmonary function |7 (dpeaa)DE-He213 | |
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650 | 4 | |a Diaphragmatic paralysis |7 (dpeaa)DE-He213 | |
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700 | 1 | |a Hou, Xinwei |4 aut | |
700 | 1 | |a Zhang, Xiao |4 aut | |
700 | 1 | |a Wang, Xueting |4 aut | |
700 | 1 | |a Qin, Weiwei |4 aut | |
700 | 1 | |a Li, Qiujie |4 aut | |
700 | 1 | |a Ma, Fuguo |4 aut | |
700 | 1 | |a Sun, Lixin |4 aut | |
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10.1186/s12871-022-01967-0 doi (DE-627)SPR051320053 (SPR)s12871-022-01967-0-e DE-627 ger DE-627 rakwb eng Wang, Jiajia verfasserin aut Comparison of pulmonary function during interscalene block vs. supraclavicular block: a single-center, double-blind, randomized trial 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Backround The supraclavicular plexus block (SCB) and interscalene plexus block (ISB) have the potential to pulmonary function, the duration of the potential remains uncertain. So, we compared the effect of SCB and ISB on pulmonary function, especially the duration time. Methods Ninety-six patients were finally allocated to group I and group S. The ISB and the SCB procedures were performed with ultrasound guidance before anesthesia induction. An investigator recorded the diaphragm mobility and respiratory function test indicators before the block ($ T_{0} $) and at 30 min ($ T_{30 min} $), 4 h ($ T_{4} $), 8 h ($ T_{8} $), and 12 h ($ T_{12} $) after the block. The diaphragmatic paralysis rate was calculated for above timepoint. The VAS, the recovery time for the sensory and motor block, and adverse reactions within 24 h of administering the block were also recorded. Results The recovery times of diaphragm mobility in group I were longer than those in group S. Compared with group I, group S had a significantly lower diaphragmatic paralysis rate during eupnea breathing at $ T_{30 min} $ and $ T_{8} $ after the block. Similarly, group S had a significantly lower diaphragmatic paralysis rate at deep breathing at $ T_{30 min} $, $ T_{8,} $ and $ T_{12} $ after the block. The recovery times of $ FEV_{1} $ and FVC in group I were longer than those in group S. The other results were not statistically significant. Conclusions Ultrasound-guided ISB resulted in a longer periods with a suppressive effect on pulmonary function than SCB. Trials registration 17/12/2019, ChiCTR1900028286. Brachial plexus block (dpeaa)DE-He213 Pulmonary function (dpeaa)DE-He213 Diaphragm mobility (dpeaa)DE-He213 Diaphragmatic paralysis (dpeaa)DE-He213 Function test, respiratory (dpeaa)DE-He213 Hou, Xinwei aut Zhang, Xiao aut Wang, Xueting aut Qin, Weiwei aut Li, Qiujie aut Ma, Fuguo aut Sun, Lixin aut Enthalten in BMC anesthesiology [S.l.] : BioMed Central, 2001 23(2023), 1 vom: 10. Jan. (DE-627)355422115 (DE-600)2091252-3 1471-2253 nnns volume:23 year:2023 number:1 day:10 month:01 https://dx.doi.org/10.1186/s12871-022-01967-0 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 23 2023 1 10 01 |
spelling |
10.1186/s12871-022-01967-0 doi (DE-627)SPR051320053 (SPR)s12871-022-01967-0-e DE-627 ger DE-627 rakwb eng Wang, Jiajia verfasserin aut Comparison of pulmonary function during interscalene block vs. supraclavicular block: a single-center, double-blind, randomized trial 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Backround The supraclavicular plexus block (SCB) and interscalene plexus block (ISB) have the potential to pulmonary function, the duration of the potential remains uncertain. So, we compared the effect of SCB and ISB on pulmonary function, especially the duration time. Methods Ninety-six patients were finally allocated to group I and group S. The ISB and the SCB procedures were performed with ultrasound guidance before anesthesia induction. An investigator recorded the diaphragm mobility and respiratory function test indicators before the block ($ T_{0} $) and at 30 min ($ T_{30 min} $), 4 h ($ T_{4} $), 8 h ($ T_{8} $), and 12 h ($ T_{12} $) after the block. The diaphragmatic paralysis rate was calculated for above timepoint. The VAS, the recovery time for the sensory and motor block, and adverse reactions within 24 h of administering the block were also recorded. Results The recovery times of diaphragm mobility in group I were longer than those in group S. Compared with group I, group S had a significantly lower diaphragmatic paralysis rate during eupnea breathing at $ T_{30 min} $ and $ T_{8} $ after the block. Similarly, group S had a significantly lower diaphragmatic paralysis rate at deep breathing at $ T_{30 min} $, $ T_{8,} $ and $ T_{12} $ after the block. The recovery times of $ FEV_{1} $ and FVC in group I were longer than those in group S. The other results were not statistically significant. Conclusions Ultrasound-guided ISB resulted in a longer periods with a suppressive effect on pulmonary function than SCB. Trials registration 17/12/2019, ChiCTR1900028286. Brachial plexus block (dpeaa)DE-He213 Pulmonary function (dpeaa)DE-He213 Diaphragm mobility (dpeaa)DE-He213 Diaphragmatic paralysis (dpeaa)DE-He213 Function test, respiratory (dpeaa)DE-He213 Hou, Xinwei aut Zhang, Xiao aut Wang, Xueting aut Qin, Weiwei aut Li, Qiujie aut Ma, Fuguo aut Sun, Lixin aut Enthalten in BMC anesthesiology [S.l.] : BioMed Central, 2001 23(2023), 1 vom: 10. Jan. (DE-627)355422115 (DE-600)2091252-3 1471-2253 nnns volume:23 year:2023 number:1 day:10 month:01 https://dx.doi.org/10.1186/s12871-022-01967-0 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 23 2023 1 10 01 |
allfields_unstemmed |
10.1186/s12871-022-01967-0 doi (DE-627)SPR051320053 (SPR)s12871-022-01967-0-e DE-627 ger DE-627 rakwb eng Wang, Jiajia verfasserin aut Comparison of pulmonary function during interscalene block vs. supraclavicular block: a single-center, double-blind, randomized trial 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Backround The supraclavicular plexus block (SCB) and interscalene plexus block (ISB) have the potential to pulmonary function, the duration of the potential remains uncertain. So, we compared the effect of SCB and ISB on pulmonary function, especially the duration time. Methods Ninety-six patients were finally allocated to group I and group S. The ISB and the SCB procedures were performed with ultrasound guidance before anesthesia induction. An investigator recorded the diaphragm mobility and respiratory function test indicators before the block ($ T_{0} $) and at 30 min ($ T_{30 min} $), 4 h ($ T_{4} $), 8 h ($ T_{8} $), and 12 h ($ T_{12} $) after the block. The diaphragmatic paralysis rate was calculated for above timepoint. The VAS, the recovery time for the sensory and motor block, and adverse reactions within 24 h of administering the block were also recorded. Results The recovery times of diaphragm mobility in group I were longer than those in group S. Compared with group I, group S had a significantly lower diaphragmatic paralysis rate during eupnea breathing at $ T_{30 min} $ and $ T_{8} $ after the block. Similarly, group S had a significantly lower diaphragmatic paralysis rate at deep breathing at $ T_{30 min} $, $ T_{8,} $ and $ T_{12} $ after the block. The recovery times of $ FEV_{1} $ and FVC in group I were longer than those in group S. The other results were not statistically significant. Conclusions Ultrasound-guided ISB resulted in a longer periods with a suppressive effect on pulmonary function than SCB. Trials registration 17/12/2019, ChiCTR1900028286. Brachial plexus block (dpeaa)DE-He213 Pulmonary function (dpeaa)DE-He213 Diaphragm mobility (dpeaa)DE-He213 Diaphragmatic paralysis (dpeaa)DE-He213 Function test, respiratory (dpeaa)DE-He213 Hou, Xinwei aut Zhang, Xiao aut Wang, Xueting aut Qin, Weiwei aut Li, Qiujie aut Ma, Fuguo aut Sun, Lixin aut Enthalten in BMC anesthesiology [S.l.] : BioMed Central, 2001 23(2023), 1 vom: 10. Jan. (DE-627)355422115 (DE-600)2091252-3 1471-2253 nnns volume:23 year:2023 number:1 day:10 month:01 https://dx.doi.org/10.1186/s12871-022-01967-0 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 23 2023 1 10 01 |
allfieldsGer |
10.1186/s12871-022-01967-0 doi (DE-627)SPR051320053 (SPR)s12871-022-01967-0-e DE-627 ger DE-627 rakwb eng Wang, Jiajia verfasserin aut Comparison of pulmonary function during interscalene block vs. supraclavicular block: a single-center, double-blind, randomized trial 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Backround The supraclavicular plexus block (SCB) and interscalene plexus block (ISB) have the potential to pulmonary function, the duration of the potential remains uncertain. So, we compared the effect of SCB and ISB on pulmonary function, especially the duration time. Methods Ninety-six patients were finally allocated to group I and group S. The ISB and the SCB procedures were performed with ultrasound guidance before anesthesia induction. An investigator recorded the diaphragm mobility and respiratory function test indicators before the block ($ T_{0} $) and at 30 min ($ T_{30 min} $), 4 h ($ T_{4} $), 8 h ($ T_{8} $), and 12 h ($ T_{12} $) after the block. The diaphragmatic paralysis rate was calculated for above timepoint. The VAS, the recovery time for the sensory and motor block, and adverse reactions within 24 h of administering the block were also recorded. Results The recovery times of diaphragm mobility in group I were longer than those in group S. Compared with group I, group S had a significantly lower diaphragmatic paralysis rate during eupnea breathing at $ T_{30 min} $ and $ T_{8} $ after the block. Similarly, group S had a significantly lower diaphragmatic paralysis rate at deep breathing at $ T_{30 min} $, $ T_{8,} $ and $ T_{12} $ after the block. The recovery times of $ FEV_{1} $ and FVC in group I were longer than those in group S. The other results were not statistically significant. Conclusions Ultrasound-guided ISB resulted in a longer periods with a suppressive effect on pulmonary function than SCB. Trials registration 17/12/2019, ChiCTR1900028286. Brachial plexus block (dpeaa)DE-He213 Pulmonary function (dpeaa)DE-He213 Diaphragm mobility (dpeaa)DE-He213 Diaphragmatic paralysis (dpeaa)DE-He213 Function test, respiratory (dpeaa)DE-He213 Hou, Xinwei aut Zhang, Xiao aut Wang, Xueting aut Qin, Weiwei aut Li, Qiujie aut Ma, Fuguo aut Sun, Lixin aut Enthalten in BMC anesthesiology [S.l.] : BioMed Central, 2001 23(2023), 1 vom: 10. Jan. (DE-627)355422115 (DE-600)2091252-3 1471-2253 nnns volume:23 year:2023 number:1 day:10 month:01 https://dx.doi.org/10.1186/s12871-022-01967-0 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 23 2023 1 10 01 |
allfieldsSound |
10.1186/s12871-022-01967-0 doi (DE-627)SPR051320053 (SPR)s12871-022-01967-0-e DE-627 ger DE-627 rakwb eng Wang, Jiajia verfasserin aut Comparison of pulmonary function during interscalene block vs. supraclavicular block: a single-center, double-blind, randomized trial 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Backround The supraclavicular plexus block (SCB) and interscalene plexus block (ISB) have the potential to pulmonary function, the duration of the potential remains uncertain. So, we compared the effect of SCB and ISB on pulmonary function, especially the duration time. Methods Ninety-six patients were finally allocated to group I and group S. The ISB and the SCB procedures were performed with ultrasound guidance before anesthesia induction. An investigator recorded the diaphragm mobility and respiratory function test indicators before the block ($ T_{0} $) and at 30 min ($ T_{30 min} $), 4 h ($ T_{4} $), 8 h ($ T_{8} $), and 12 h ($ T_{12} $) after the block. The diaphragmatic paralysis rate was calculated for above timepoint. The VAS, the recovery time for the sensory and motor block, and adverse reactions within 24 h of administering the block were also recorded. Results The recovery times of diaphragm mobility in group I were longer than those in group S. Compared with group I, group S had a significantly lower diaphragmatic paralysis rate during eupnea breathing at $ T_{30 min} $ and $ T_{8} $ after the block. Similarly, group S had a significantly lower diaphragmatic paralysis rate at deep breathing at $ T_{30 min} $, $ T_{8,} $ and $ T_{12} $ after the block. The recovery times of $ FEV_{1} $ and FVC in group I were longer than those in group S. The other results were not statistically significant. Conclusions Ultrasound-guided ISB resulted in a longer periods with a suppressive effect on pulmonary function than SCB. Trials registration 17/12/2019, ChiCTR1900028286. Brachial plexus block (dpeaa)DE-He213 Pulmonary function (dpeaa)DE-He213 Diaphragm mobility (dpeaa)DE-He213 Diaphragmatic paralysis (dpeaa)DE-He213 Function test, respiratory (dpeaa)DE-He213 Hou, Xinwei aut Zhang, Xiao aut Wang, Xueting aut Qin, Weiwei aut Li, Qiujie aut Ma, Fuguo aut Sun, Lixin aut Enthalten in BMC anesthesiology [S.l.] : BioMed Central, 2001 23(2023), 1 vom: 10. Jan. (DE-627)355422115 (DE-600)2091252-3 1471-2253 nnns volume:23 year:2023 number:1 day:10 month:01 https://dx.doi.org/10.1186/s12871-022-01967-0 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 23 2023 1 10 01 |
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English |
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Enthalten in BMC anesthesiology 23(2023), 1 vom: 10. Jan. volume:23 year:2023 number:1 day:10 month:01 |
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Enthalten in BMC anesthesiology 23(2023), 1 vom: 10. Jan. volume:23 year:2023 number:1 day:10 month:01 |
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Wang, Jiajia |
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Wang, Jiajia misc Brachial plexus block misc Pulmonary function misc Diaphragm mobility misc Diaphragmatic paralysis misc Function test, respiratory Comparison of pulmonary function during interscalene block vs. supraclavicular block: a single-center, double-blind, randomized trial |
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Comparison of pulmonary function during interscalene block vs. supraclavicular block: a single-center, double-blind, randomized trial Brachial plexus block (dpeaa)DE-He213 Pulmonary function (dpeaa)DE-He213 Diaphragm mobility (dpeaa)DE-He213 Diaphragmatic paralysis (dpeaa)DE-He213 Function test, respiratory (dpeaa)DE-He213 |
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misc Brachial plexus block misc Pulmonary function misc Diaphragm mobility misc Diaphragmatic paralysis misc Function test, respiratory |
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misc Brachial plexus block misc Pulmonary function misc Diaphragm mobility misc Diaphragmatic paralysis misc Function test, respiratory |
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Comparison of pulmonary function during interscalene block vs. supraclavicular block: a single-center, double-blind, randomized trial |
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Comparison of pulmonary function during interscalene block vs. supraclavicular block: a single-center, double-blind, randomized trial |
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comparison of pulmonary function during interscalene block vs. supraclavicular block: a single-center, double-blind, randomized trial |
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Comparison of pulmonary function during interscalene block vs. supraclavicular block: a single-center, double-blind, randomized trial |
abstract |
Backround The supraclavicular plexus block (SCB) and interscalene plexus block (ISB) have the potential to pulmonary function, the duration of the potential remains uncertain. So, we compared the effect of SCB and ISB on pulmonary function, especially the duration time. Methods Ninety-six patients were finally allocated to group I and group S. The ISB and the SCB procedures were performed with ultrasound guidance before anesthesia induction. An investigator recorded the diaphragm mobility and respiratory function test indicators before the block ($ T_{0} $) and at 30 min ($ T_{30 min} $), 4 h ($ T_{4} $), 8 h ($ T_{8} $), and 12 h ($ T_{12} $) after the block. The diaphragmatic paralysis rate was calculated for above timepoint. The VAS, the recovery time for the sensory and motor block, and adverse reactions within 24 h of administering the block were also recorded. Results The recovery times of diaphragm mobility in group I were longer than those in group S. Compared with group I, group S had a significantly lower diaphragmatic paralysis rate during eupnea breathing at $ T_{30 min} $ and $ T_{8} $ after the block. Similarly, group S had a significantly lower diaphragmatic paralysis rate at deep breathing at $ T_{30 min} $, $ T_{8,} $ and $ T_{12} $ after the block. The recovery times of $ FEV_{1} $ and FVC in group I were longer than those in group S. The other results were not statistically significant. Conclusions Ultrasound-guided ISB resulted in a longer periods with a suppressive effect on pulmonary function than SCB. Trials registration 17/12/2019, ChiCTR1900028286. © The Author(s) 2023 |
abstractGer |
Backround The supraclavicular plexus block (SCB) and interscalene plexus block (ISB) have the potential to pulmonary function, the duration of the potential remains uncertain. So, we compared the effect of SCB and ISB on pulmonary function, especially the duration time. Methods Ninety-six patients were finally allocated to group I and group S. The ISB and the SCB procedures were performed with ultrasound guidance before anesthesia induction. An investigator recorded the diaphragm mobility and respiratory function test indicators before the block ($ T_{0} $) and at 30 min ($ T_{30 min} $), 4 h ($ T_{4} $), 8 h ($ T_{8} $), and 12 h ($ T_{12} $) after the block. The diaphragmatic paralysis rate was calculated for above timepoint. The VAS, the recovery time for the sensory and motor block, and adverse reactions within 24 h of administering the block were also recorded. Results The recovery times of diaphragm mobility in group I were longer than those in group S. Compared with group I, group S had a significantly lower diaphragmatic paralysis rate during eupnea breathing at $ T_{30 min} $ and $ T_{8} $ after the block. Similarly, group S had a significantly lower diaphragmatic paralysis rate at deep breathing at $ T_{30 min} $, $ T_{8,} $ and $ T_{12} $ after the block. The recovery times of $ FEV_{1} $ and FVC in group I were longer than those in group S. The other results were not statistically significant. Conclusions Ultrasound-guided ISB resulted in a longer periods with a suppressive effect on pulmonary function than SCB. Trials registration 17/12/2019, ChiCTR1900028286. © The Author(s) 2023 |
abstract_unstemmed |
Backround The supraclavicular plexus block (SCB) and interscalene plexus block (ISB) have the potential to pulmonary function, the duration of the potential remains uncertain. So, we compared the effect of SCB and ISB on pulmonary function, especially the duration time. Methods Ninety-six patients were finally allocated to group I and group S. The ISB and the SCB procedures were performed with ultrasound guidance before anesthesia induction. An investigator recorded the diaphragm mobility and respiratory function test indicators before the block ($ T_{0} $) and at 30 min ($ T_{30 min} $), 4 h ($ T_{4} $), 8 h ($ T_{8} $), and 12 h ($ T_{12} $) after the block. The diaphragmatic paralysis rate was calculated for above timepoint. The VAS, the recovery time for the sensory and motor block, and adverse reactions within 24 h of administering the block were also recorded. Results The recovery times of diaphragm mobility in group I were longer than those in group S. Compared with group I, group S had a significantly lower diaphragmatic paralysis rate during eupnea breathing at $ T_{30 min} $ and $ T_{8} $ after the block. Similarly, group S had a significantly lower diaphragmatic paralysis rate at deep breathing at $ T_{30 min} $, $ T_{8,} $ and $ T_{12} $ after the block. The recovery times of $ FEV_{1} $ and FVC in group I were longer than those in group S. The other results were not statistically significant. Conclusions Ultrasound-guided ISB resulted in a longer periods with a suppressive effect on pulmonary function than SCB. Trials registration 17/12/2019, ChiCTR1900028286. © The Author(s) 2023 |
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Comparison of pulmonary function during interscalene block vs. supraclavicular block: a single-center, double-blind, randomized trial |
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So, we compared the effect of SCB and ISB on pulmonary function, especially the duration time. Methods Ninety-six patients were finally allocated to group I and group S. The ISB and the SCB procedures were performed with ultrasound guidance before anesthesia induction. An investigator recorded the diaphragm mobility and respiratory function test indicators before the block ($ T_{0} $) and at 30 min ($ T_{30 min} $), 4 h ($ T_{4} $), 8 h ($ T_{8} $), and 12 h ($ T_{12} $) after the block. The diaphragmatic paralysis rate was calculated for above timepoint. The VAS, the recovery time for the sensory and motor block, and adverse reactions within 24 h of administering the block were also recorded. Results The recovery times of diaphragm mobility in group I were longer than those in group S. Compared with group I, group S had a significantly lower diaphragmatic paralysis rate during eupnea breathing at $ T_{30 min} $ and $ T_{8} $ after the block. Similarly, group S had a significantly lower diaphragmatic paralysis rate at deep breathing at $ T_{30 min} $, $ T_{8,} $ and $ T_{12} $ after the block. The recovery times of $ FEV_{1} $ and FVC in group I were longer than those in group S. The other results were not statistically significant. Conclusions Ultrasound-guided ISB resulted in a longer periods with a suppressive effect on pulmonary function than SCB. 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