• Cevdet Duger, Ahmet Cemil Isbir, Kenan Kaygusuz, Ozdemir KolIclalI, Sinan Gursoy, Hayati Ozturk, and Caner Mimaroğlu.
• Department of Anesthesiology, Cumhuriyet University, School of Medicine, Sivas, Turkey.
• Int J Med Sci. 2013 Jan 1; 10 (9): 110811121108-12.

ObjectiveIn this study we aimed to compare the echogenic needles and the nerve stimulation addition to non-echogenic needles in ultrasound guided axillary brachial plexus block for upper extremity surgery.Methods90 patients were enrolled to the study. The patients were allocated into three groups randomly: Group E (n=30): ultrasound guided axillary block using echogenic needle, Group N (n=30): ultrasound guided axillary block using non-echogenic needle, Group NS (n=30): ultrasound guided axillary block using non-echogenic needle with nerve stimulator assistance. Duration of block procedure, mean arterial pressure, heart rate, pulse-oximetry, onset time of sensory and motor block, duration of sensory and motor block, time to first analgesic use, total need for analgesics, postoperative pain scores, patient and surgeon satisfaction scores were recorded.ResultsDuration of block procedure values were lower in group E and NS, sensory and motor block durations, were significantly lower in group N. Sensorial and motor block onset time values were found lower in group NS but higher in group N. Patient and surgeon satisfaction scores were found lower in group N.ConclusionWe conclude that ultrasound guided axillary block may be performed successfully using both echogenic needles and nerve stimulation assisted non-echogenic needles.

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