Please use this identifier to cite or link to this item:
http://hdl.handle.net/1942/43333
Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | NIJS, Kristof | - |
dc.contributor.author | Hertogen, Pieter 's | - |
dc.contributor.author | Buelens, Simon | - |
dc.contributor.author | Coppens, Marc | - |
dc.contributor.author | Teunkens, An | - |
dc.contributor.author | Jalil, Hassanin | - |
dc.contributor.author | van de Velde, Marc | - |
dc.contributor.author | Al Tmimi, Layth | - |
dc.contributor.author | STESSEL, Bjorn | - |
dc.date.accessioned | 2024-07-05T09:38:43Z | - |
dc.date.available | 2024-07-05T09:38:43Z | - |
dc.date.issued | 2024 | - |
dc.date.submitted | 2024-07-05T08:45:53Z | - |
dc.identifier.citation | Journal of clinical medicine, 13 (11) (Art N° 3185) | - |
dc.identifier.uri | http://hdl.handle.net/1942/43333 | - |
dc.description.abstract | Background: Several regional anesthesia (RA) techniques have been described for distal upper limb surgery. However, the best approach in terms of RA block success rate and safety is not well recognized. Objective: To assess and compare the surgical anesthesia and efficacy of axillary brachial plexus block with other RA techniques for hand and wrist surgery. The attainment of adequate surgical anesthesia 30 min after block placement was considered a primary outcome measure. Additionally, successful block outcomes were required without the use of supplemental local anesthetic injection, systemic opioid analgesia, or the need to convert to general anesthesia. Methods: We performed a systematic search in the following databases: MEDLINE, EMBASE, Cochrane Database of Systematic Reviews, and CENTRAL. RCTs comparing axillary blocks with other brachial plexus block techniques, distal peripheral forearm nerve block, intravenous RA, and the wide-awake local anesthesia no tourniquet (WALANT) technique were included. Results: In total, 3070 records were reviewed, of which 28 met the inclusion criteria. The meta-analysis of adequate surgical anesthesia showed no significant difference between ultrasound-guided axillary block and supraclavicular block (RR: 0.94 [0.89, 1.00]; p = 0.06; I-2 = 60.00%), but a statistically significant difference between ultrasound-guided axillary block and infraclavicular block (RR: 0.92 [0.88, 0.97]; p < 0.01; I-2 = 53.00%). Ultrasound-guided infraclavicular blocks were performed faster than ultrasound-guided axillary blocks (SMD: 0.74 [0.30, 1.17]; p < 0.001; I-2 = 85.00%). No differences in performance time between ultrasound-guided axillary and supraclavicular blocks were demonstrated. Additionally, adequate surgical anesthesia onset time was not significantly different between ultrasound-guided block approaches: ultrasound-guided axillary blocks versus ultrasound-guided supraclavicular blocks (SMD: 0.52 [-0.14, 1.17]; p = 0.12; I-2 = 86.00%); ultrasound-guided axillary blocks versus ultrasound-guided infraclavicular blocks (SMD: 0.21 [-0.49, 0.91]; p = 0.55; I-2 = 92.00%). Conclusions: The RA choice should be individualized depending on the patient, procedure, and operator-specific parameters. Compared to ultrasound-guided supraclavicular and infraclavicular block, ultrasound-guided axillary block may be preferred for patients with significant concerns of block-related side effects/complications. High heterogeneity between studies shows the need for more robust RCTs. | - |
dc.language.iso | en | - |
dc.publisher | MDPI | - |
dc.rights | 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/). | - |
dc.subject.other | axillary brachial plexus block | - |
dc.subject.other | regional anesthesia | - |
dc.subject.other | upper limb surgery | - |
dc.title | Axillary Brachial Plexus Block Compared with Other Regional Anesthesia Techniques in Distal Upper Limb Surgery: A Systematic Review and Meta-Analysis | - |
dc.type | Journal Contribution | - |
dc.identifier.issue | 11 | - |
dc.identifier.volume | 13 | - |
local.format.pages | 14 | - |
local.bibliographicCitation.jcat | A1 | - |
dc.description.notes | Stessel, B (corresponding author), Jessa Hosp, Dept Anesthesiol & Pain Med, B-3500 Hasselt, Belgium.; Stessel, B (corresponding author), Univ Hasselt, Fac Med & Life Sci, B-3590 Diepenbeek, Belgium. | - |
dc.description.notes | bjorn.stessel@jessazh.be | - |
local.publisher.place | ST ALBAN-ANLAGE 66, CH-4052 BASEL, SWITZERLAND | - |
local.type.refereed | Refereed | - |
local.type.specified | Review | - |
local.bibliographicCitation.artnr | 3185 | - |
dc.identifier.doi | 10.3390/jcm13113185 | - |
dc.identifier.pmid | 38892896 | - |
dc.identifier.isi | 001246981600001 | - |
dc.contributor.orcid | Teunkens, An/0000-0002-6279-7436; Stessel, Bjorn/0000-0002-1422-2777; | - |
dc.contributor.orcid | Buelens, Simon/0009-0000-7323-8974 | - |
local.provider.type | wosris | - |
local.description.affiliation | [Nijs, Kristof; Hertogen, Pieter 's; Buelens, Simon; Jalil, Hassanin; Stessel, Bjoern] Jessa Hosp, Dept Anesthesiol & Pain Med, B-3500 Hasselt, Belgium. | - |
local.description.affiliation | [Nijs, Kristof; Stessel, Bjoern] Univ Hasselt, Fac Med & Life Sci, B-3590 Diepenbeek, Belgium. | - |
local.description.affiliation | [Nijs, Kristof; Hertogen, Pieter 's; Buelens, Simon; Teunkens, An; van de Velde, Marc; Al Tmimi, Layth] Univ Leuven, Dept Cardiovasc Sci, B-3000 Leuven, Belgium. | - |
local.description.affiliation | [Hertogen, Pieter 's; Buelens, Simon; Teunkens, An; van de Velde, Marc; Al Tmimi, Layth] Univ Hosp Leuven, Dept Anesthesiol & Pain Med, B-3000 Leuven, Belgium. | - |
local.description.affiliation | [Coppens, Marc] Univ Hosp Ghent, Dept Anesthesiol & Perioperat Med, B-9000 Ghent, Belgium. | - |
local.description.affiliation | [Coppens, Marc] Univ Ghent, Dept Basic & Appl Med Sci, Ghent, Belgium. | - |
local.uhasselt.international | no | - |
item.fullcitation | NIJS, Kristof; Hertogen, Pieter 's; Buelens, Simon; Coppens, Marc; Teunkens, An; Jalil, Hassanin; van de Velde, Marc; Al Tmimi, Layth & STESSEL, Bjorn (2024) Axillary Brachial Plexus Block Compared with Other Regional Anesthesia Techniques in Distal Upper Limb Surgery: A Systematic Review and Meta-Analysis. In: Journal of clinical medicine, 13 (11) (Art N° 3185). | - |
item.fulltext | With Fulltext | - |
item.contributor | NIJS, Kristof | - |
item.contributor | Hertogen, Pieter 's | - |
item.contributor | Buelens, Simon | - |
item.contributor | Coppens, Marc | - |
item.contributor | Teunkens, An | - |
item.contributor | Jalil, Hassanin | - |
item.contributor | van de Velde, Marc | - |
item.contributor | Al Tmimi, Layth | - |
item.contributor | STESSEL, Bjorn | - |
item.accessRights | Open Access | - |
crisitem.journal.eissn | 2077-0383 | - |
Appears in Collections: | Research publications |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
Axillary Brachial Plexus Block Compared with Other Regional Anesthesia Techniques in Distal Upper Limb Surgery.pdf | Published version | 1.71 MB | Adobe PDF | View/Open |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.