What Type of Peripheral Loco-Regional Anaesthesia for Thoracic Limb Surgery at the University Hospital La Renaissance - N'Djamena Chad

Kader Ndiaye; Sory Traore; Adamou Abbassi; Mbang Dono Djerabe; Adjougoulta Bonte; Kotyade Ngamai; Siniki Fandebnet

doi:doi:10.11648/j.ijcems.20210702.13

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What Type of Peripheral Loco-Regional Anaesthesia for Thoracic Limb Surgery at the University Hospital La Renaissance - N'Djamena Chad

Kader Ndiaye, Sory Traore, Adamou Abbassi, Mbang Dono Djerabe, Adjougoulta Bonte, Kotyade Ngamai, Siniki Fandebnet

Published in International Journal of Clinical and Experimental Medical Sciences (Volume 7, Issue 2)

Received: 5 April 2021 Accepted: 16 April 2021 Published: 26 April 2021

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Abstract

Loco-regional anaesthesia has been revived in recent years, particularly with the advent of ultrasound guidance. We conducted a prospective study over a period of one year on the activity of peripheral loco-regional anaesthesia; 25 patients operated on the thoracic limb who had benefited from peripheral loco-regional anaesthesia were collated. Echo-guidance predominated in 76% of cases, axillary block predominated in our study, i.e. 72% of cases; 48% of our patients had had prior premedication with the combination of hypnovel and low dose fentanyl, which made the nerve block to be carried out more comfortably. The most used products were the combination of Bupivacaine 0.5% and Lidocaine 2% in 88%; the average volume injected per plexus block was 21.38 ml with a standard deviation of 6.1 ml. The postoperative analgesia was satisfactory with 28% of the patients having no pain, 64% having only moderate pain and only 4% having pain judged to be intense, i.e. 1 patient; the average duration of this postoperative analgesia was 252 minutes, going up to 420 minutes and it is in the same range as that found in the literature, which is 172.8 min on average, going up to 546.4 min for certain authors. No side effects or complications were observed in our series. In conclusion, we have noted the advantage of the practice of peripheral loco-regional anaesthesia for both the patient and the hospital; this should encourage practitioners to standardise it.

Published in	International Journal of Clinical and Experimental Medical Sciences (Volume 7, Issue 2)
DOI	10.11648/j.ijcems.20210702.13
Page(s)	50-54
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Peripheral Loco-Regional Anaesthesia, Thoracic Limb Surgery, Clinical Impact

References

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[2]	Yuvaraj Shashidhar, R. P. Kaushal, Rajkumar Ahirwal. Original Research ArticleA comparative study on upper limb supraclavicular brachial plexus block: dexmedetomidine with ropivacaine and dexamethasone with ropivacaine and ropivacaine alone. International Journal of Health and Clinical Research, 2020; 3 (12S): 14-21.
[3]	Robert Almasi, Lajos Bogar, Barbara Rezman, Edina Kovacs, Balazs Patczai, Norbert Wiegand. New composite scale for evaluating peripheral nerve block quality in upper limb orthopaedics surgery. Injury 11 March 2020; 16: 39.
[4]	Vinu Mervick Alfred, Gnanasekaran Srinivasan, Mamie Zachariah. Comparison of Ultrasound with Peripheral Nerve Stimulator-guided Technique for Supraclavicular Block in Upper Limb Surgeries: A Randomized Controlled Trial. Anesth Essays Res. 2018 Jan-Mar; 12 (1): 50-54.
[5]	Marie-Josee Nadeau, Simon Levesque, Nicolas Dion. Ultrasound-guided regional anesthesia for upper limb surgery. Can J Anesth/J Can Anesth, 2013; 60: 304-320.
[6]	A. Deleuze, M. E. Gentili, F. Bonnet. Description of two techniques of brachial plexus block by infraclavicular approach. Annales Françaises d'Anesthésie et de Réanimation, Feb 2004; 23: 82-84.
[7]	Bloc S, Mercadal L, Delbos A, Fuzier R, Narchi P, Ecoffey C. Ultrasound guided regional anesthesia: what is the practice in France in 2012? Abstracts and highlight papers of the 31st annual European Society of Regional Anaesthesia (ESRA) congress 2012. Reg Anesth Pain Med 2012; 37 (7 Suppl): e219.
[8]	Markus Zadrazil, Philipp Opfermann, Peter Marhofer, Anna I. Westerlund. Brachial plexus block with ultrasound guidance for upper-limb trauma surgery in children: a retrospective cohort study of 565 cases. British Journal of Anaesthesia; Volume 125, Issue 1, July 2020, Pages 104-109.
[9]	Robert Almasi, Barbara Rezman, Zsoﬁa Kriszta, Balazs Patczai, Norbert Wiegand, Lajos Bogar. Onset times and duration of analgesic effect of various concentrations of local anesthetic solutions in standardized volume used for brachial plexus blocks. Heliyon 2020 Sep 2; 6 (9): e04718.
[10]	M. Carles, H. Beloeil, S. Bloc, K. Nouette-Gaulain, C. Aveline, J. Cabaton, et al. Perineural loco-regional anaesthesia (PLRA). Formalised expert recommendations Anesth Reanim. 2019; 5: 208-217.
[11]	Daniel M. Pöpping, Nadia Elia, Emmanuel Marret, Manuel Wenk, Martin R. Tramèr, David S. Warner, Mark A. Warner. Clonidine as an adjunct to local anaesthetics for peripheral nerve and plexus blocks: A meta-analysis of randomised trials. Anesthesiology August 2009, Vol. 111, 406-415.
[12]	Brian P. Kinirons, FFARCSI*, Herve Bouaziz, Xavier Paqueron, Adil Ababou, Celine Jandard, My Maõ Cao, Marie-Lorraine Bur, Marie-Claire Laxenaire, and Dan Benhamou. Sedation with Sufentanil and Midazolam Decreases Pain in Patients Undergoing Upper Limb Surgery Under Multiple Nerve Block. Anesth Analg 2000; 90: 1118 ±21.
[13]	Urooj Siddiqui, Anahi Perlas, Kijinn Chin, Miguel A Reina; Xavier sala-Blanch, ahtsham Niazi and Vincent Chan. Intertruncal approach to the supraclavicular brachial plexus, current controversies and technical update: a daring discourse Regional Anesthesia & Pain Medicine. 11 March 2020; 45 (5): 377-380.
[14]	E. Albrecht and K. J. Chin. Advances in regional anaesthesia and acute pain management: a narrative review. Anaesthesia 2020, 75 (Suppl. 1), e101-e110.
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APA Style

Kader Ndiaye, Sory Traore, Adamou Abbassi, Mbang Dono Djerabe, Adjougoulta Bonte, et al. (2021). What Type of Peripheral Loco-Regional Anaesthesia for Thoracic Limb Surgery at the University Hospital La Renaissance - N'Djamena Chad. International Journal of Clinical and Experimental Medical Sciences, 7(2), 50-54. https://doi.org/10.11648/j.ijcems.20210702.13

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ACS Style

Kader Ndiaye; Sory Traore; Adamou Abbassi; Mbang Dono Djerabe; Adjougoulta Bonte, et al. What Type of Peripheral Loco-Regional Anaesthesia for Thoracic Limb Surgery at the University Hospital La Renaissance - N'Djamena Chad. Int. J. Clin. Exp. Med. Sci. 2021, 7(2), 50-54. doi: 10.11648/j.ijcems.20210702.13

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AMA Style

Kader Ndiaye, Sory Traore, Adamou Abbassi, Mbang Dono Djerabe, Adjougoulta Bonte, et al. What Type of Peripheral Loco-Regional Anaesthesia for Thoracic Limb Surgery at the University Hospital La Renaissance - N'Djamena Chad. Int J Clin Exp Med Sci. 2021;7(2):50-54. doi: 10.11648/j.ijcems.20210702.13

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@article{10.11648/j.ijcems.20210702.13,
  author = {Kader Ndiaye and Sory Traore and Adamou Abbassi and Mbang Dono Djerabe and Adjougoulta Bonte and Kotyade Ngamai and Siniki Fandebnet},
  title = {What Type of Peripheral Loco-Regional Anaesthesia for Thoracic Limb Surgery at the University Hospital La Renaissance - N'Djamena Chad},
  journal = {International Journal of Clinical and Experimental Medical Sciences},
  volume = {7},
  number = {2},
  pages = {50-54},
  doi = {10.11648/j.ijcems.20210702.13},
  url = {https://doi.org/10.11648/j.ijcems.20210702.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcems.20210702.13},
  abstract = {Loco-regional anaesthesia has been revived in recent years, particularly with the advent of ultrasound guidance. We conducted a prospective study over a period of one year on the activity of peripheral loco-regional anaesthesia; 25 patients operated on the thoracic limb who had benefited from peripheral loco-regional anaesthesia were collated. Echo-guidance predominated in 76% of cases, axillary block predominated in our study, i.e. 72% of cases; 48% of our patients had had prior premedication with the combination of hypnovel and low dose fentanyl, which made the nerve block to be carried out more comfortably. The most used products were the combination of Bupivacaine 0.5% and Lidocaine 2% in 88%; the average volume injected per plexus block was 21.38 ml with a standard deviation of 6.1 ml. The postoperative analgesia was satisfactory with 28% of the patients having no pain, 64% having only moderate pain and only 4% having pain judged to be intense, i.e. 1 patient; the average duration of this postoperative analgesia was 252 minutes, going up to 420 minutes and it is in the same range as that found in the literature, which is 172.8 min on average, going up to 546.4 min for certain authors. No side effects or complications were observed in our series. In conclusion, we have noted the advantage of the practice of peripheral loco-regional anaesthesia for both the patient and the hospital; this should encourage practitioners to standardise it.},
 year = {2021}
}

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TY  - JOUR
T1  - What Type of Peripheral Loco-Regional Anaesthesia for Thoracic Limb Surgery at the University Hospital La Renaissance - N'Djamena Chad
AU  - Kader Ndiaye
AU  - Sory Traore
AU  - Adamou Abbassi
AU  - Mbang Dono Djerabe
AU  - Adjougoulta Bonte
AU  - Kotyade Ngamai
AU  - Siniki Fandebnet
Y1  - 2021/04/26
PY  - 2021
N1  - https://doi.org/10.11648/j.ijcems.20210702.13
DO  - 10.11648/j.ijcems.20210702.13
T2  - International Journal of Clinical and Experimental Medical Sciences
JF  - International Journal of Clinical and Experimental Medical Sciences
JO  - International Journal of Clinical and Experimental Medical Sciences
SP  - 50
EP  - 54
PB  - Science Publishing Group
SN  - 2469-8032
UR  - https://doi.org/10.11648/j.ijcems.20210702.13
AB  - Loco-regional anaesthesia has been revived in recent years, particularly with the advent of ultrasound guidance. We conducted a prospective study over a period of one year on the activity of peripheral loco-regional anaesthesia; 25 patients operated on the thoracic limb who had benefited from peripheral loco-regional anaesthesia were collated. Echo-guidance predominated in 76% of cases, axillary block predominated in our study, i.e. 72% of cases; 48% of our patients had had prior premedication with the combination of hypnovel and low dose fentanyl, which made the nerve block to be carried out more comfortably. The most used products were the combination of Bupivacaine 0.5% and Lidocaine 2% in 88%; the average volume injected per plexus block was 21.38 ml with a standard deviation of 6.1 ml. The postoperative analgesia was satisfactory with 28% of the patients having no pain, 64% having only moderate pain and only 4% having pain judged to be intense, i.e. 1 patient; the average duration of this postoperative analgesia was 252 minutes, going up to 420 minutes and it is in the same range as that found in the literature, which is 172.8 min on average, going up to 546.4 min for certain authors. No side effects or complications were observed in our series. In conclusion, we have noted the advantage of the practice of peripheral loco-regional anaesthesia for both the patient and the hospital; this should encourage practitioners to standardise it.
VL  - 7
IS  - 2
ER  -

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Author Information

Kader Ndiaye

Department of Anaesthesia, Intensive Care at the University Hospital La Renaissance, N'Djaména, Chad
Sory Traore

Department of Anaesthesia, Intensive Care at the University Hospital La Renaissance, N'Djaména, Chad
Adamou Abbassi

Department of Anaesthesia, Intensive Care at the University Hospital La Renaissance, N'Djaména, Chad
Mbang Dono Djerabe

Department of Anaesthesia, Intensive Care at the University Hospital La Renaissance, N'Djaména, Chad
Adjougoulta Bonte

Anaesthesia-Resuscitation Department at the University Hospital La Référence Nationale, N'Djaména, Chad
Kotyade Ngamai

Department of Orthopaedic and Trauma Surgery at the University Hospital La Renaissance, N'Djaména, Chad
Siniki Fandebnet

Department of Orthopaedic and Trauma Surgery at the University Hospital La Renaissance, N'Djaména, Chad

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APA Style

Kader Ndiaye, Sory Traore, Adamou Abbassi, Mbang Dono Djerabe, Adjougoulta Bonte, et al. (2021). What Type of Peripheral Loco-Regional Anaesthesia for Thoracic Limb Surgery at the University Hospital La Renaissance - N'Djamena Chad. International Journal of Clinical and Experimental Medical Sciences, 7(2), 50-54. https://doi.org/10.11648/j.ijcems.20210702.13

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ACS Style

Kader Ndiaye; Sory Traore; Adamou Abbassi; Mbang Dono Djerabe; Adjougoulta Bonte, et al. What Type of Peripheral Loco-Regional Anaesthesia for Thoracic Limb Surgery at the University Hospital La Renaissance - N'Djamena Chad. Int. J. Clin. Exp. Med. Sci. 2021, 7(2), 50-54. doi: 10.11648/j.ijcems.20210702.13

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AMA Style

Kader Ndiaye, Sory Traore, Adamou Abbassi, Mbang Dono Djerabe, Adjougoulta Bonte, et al. What Type of Peripheral Loco-Regional Anaesthesia for Thoracic Limb Surgery at the University Hospital La Renaissance - N'Djamena Chad. Int J Clin Exp Med Sci. 2021;7(2):50-54. doi: 10.11648/j.ijcems.20210702.13

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@article{10.11648/j.ijcems.20210702.13,
  author = {Kader Ndiaye and Sory Traore and Adamou Abbassi and Mbang Dono Djerabe and Adjougoulta Bonte and Kotyade Ngamai and Siniki Fandebnet},
  title = {What Type of Peripheral Loco-Regional Anaesthesia for Thoracic Limb Surgery at the University Hospital La Renaissance - N'Djamena Chad},
  journal = {International Journal of Clinical and Experimental Medical Sciences},
  volume = {7},
  number = {2},
  pages = {50-54},
  doi = {10.11648/j.ijcems.20210702.13},
  url = {https://doi.org/10.11648/j.ijcems.20210702.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcems.20210702.13},
  abstract = {Loco-regional anaesthesia has been revived in recent years, particularly with the advent of ultrasound guidance. We conducted a prospective study over a period of one year on the activity of peripheral loco-regional anaesthesia; 25 patients operated on the thoracic limb who had benefited from peripheral loco-regional anaesthesia were collated. Echo-guidance predominated in 76% of cases, axillary block predominated in our study, i.e. 72% of cases; 48% of our patients had had prior premedication with the combination of hypnovel and low dose fentanyl, which made the nerve block to be carried out more comfortably. The most used products were the combination of Bupivacaine 0.5% and Lidocaine 2% in 88%; the average volume injected per plexus block was 21.38 ml with a standard deviation of 6.1 ml. The postoperative analgesia was satisfactory with 28% of the patients having no pain, 64% having only moderate pain and only 4% having pain judged to be intense, i.e. 1 patient; the average duration of this postoperative analgesia was 252 minutes, going up to 420 minutes and it is in the same range as that found in the literature, which is 172.8 min on average, going up to 546.4 min for certain authors. No side effects or complications were observed in our series. In conclusion, we have noted the advantage of the practice of peripheral loco-regional anaesthesia for both the patient and the hospital; this should encourage practitioners to standardise it.},
 year = {2021}
}

Copy | Download

TY  - JOUR
T1  - What Type of Peripheral Loco-Regional Anaesthesia for Thoracic Limb Surgery at the University Hospital La Renaissance - N'Djamena Chad
AU  - Kader Ndiaye
AU  - Sory Traore
AU  - Adamou Abbassi
AU  - Mbang Dono Djerabe
AU  - Adjougoulta Bonte
AU  - Kotyade Ngamai
AU  - Siniki Fandebnet
Y1  - 2021/04/26
PY  - 2021
N1  - https://doi.org/10.11648/j.ijcems.20210702.13
DO  - 10.11648/j.ijcems.20210702.13
T2  - International Journal of Clinical and Experimental Medical Sciences
JF  - International Journal of Clinical and Experimental Medical Sciences
JO  - International Journal of Clinical and Experimental Medical Sciences
SP  - 50
EP  - 54
PB  - Science Publishing Group
SN  - 2469-8032
UR  - https://doi.org/10.11648/j.ijcems.20210702.13
AB  - Loco-regional anaesthesia has been revived in recent years, particularly with the advent of ultrasound guidance. We conducted a prospective study over a period of one year on the activity of peripheral loco-regional anaesthesia; 25 patients operated on the thoracic limb who had benefited from peripheral loco-regional anaesthesia were collated. Echo-guidance predominated in 76% of cases, axillary block predominated in our study, i.e. 72% of cases; 48% of our patients had had prior premedication with the combination of hypnovel and low dose fentanyl, which made the nerve block to be carried out more comfortably. The most used products were the combination of Bupivacaine 0.5% and Lidocaine 2% in 88%; the average volume injected per plexus block was 21.38 ml with a standard deviation of 6.1 ml. The postoperative analgesia was satisfactory with 28% of the patients having no pain, 64% having only moderate pain and only 4% having pain judged to be intense, i.e. 1 patient; the average duration of this postoperative analgesia was 252 minutes, going up to 420 minutes and it is in the same range as that found in the literature, which is 172.8 min on average, going up to 546.4 min for certain authors. No side effects or complications were observed in our series. In conclusion, we have noted the advantage of the practice of peripheral loco-regional anaesthesia for both the patient and the hospital; this should encourage practitioners to standardise it.
VL  - 7
IS  - 2
ER  -

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