Abstract:

Purpose: Brakial plexus blocks are the most effective analgesic and anesthetic method in upper end surgery in children. In recent years, making brakial plexus blocks accompanied by ultrasound has reduced the rate of major complications such as pnomotax, intravascular injection, nerve damage and process failure. However, studies on brakial plexus blocks, especially in children, are insufficient. In our study, we aimed to discuss the effectiveness and safety of the brakial plexus block in this patient group by reviewing the data of children who applied the brakial plexus block in our clinic with ultrasound accompaniment. Instruments and Methods: Data of children with brakial plexus block in ultrasound accompanied in our clinic between January 2015 and January 2017 were reviewed backwards. Demographic data, diagnoses, process and surgery times, drugs used, motor and sensory block times were recorded. Results: Between January 2015 and January 2017, the number of children patients who applied the upper extremity peripheral nerve block with ultrasound in our clinic was 24. In 15 of these patients, supraklavics were applied, and in 9 infraclavics block. The average age of patients was 9.6 ± 3.12. The E/K ratio was 14/10. The average duration of the procedure was 9,54±2,14 minutes in patients who were administered in the supraclavic bloc, and 12,9±2,8 minutes in the group who were administered in the infrared bloc. The operating time was an average of 64±13,6 minutes. In local anesthesia, 21 patients received bupivakain+lidokain, 3 patients received bupivakain, 8 patients received adjuvan. The procedure was administered in 12 patients under general anesthesia and in 12 patients under sedation. The average motor block duration was 7.5 ± 2 hours in patients with supraclavic block and 7.4 ± 1.5 hours in patients with infraclavic block. The average sensory block duration was 10.5±1.7 hours in patients with supraclavic block and 10.45±1.15 hours in patients with infrared block. The average motor block duration of patients added to the adjuvan is 7.7 ± 0.5 hours, the sensory block duration is 11.12 ± 1.1 hours. No complications were observed in any of the patients during the procedure, intraoperative and postoperative follow-up. The result is that the brakial plexus blocks accompanied by ultrasound in children are effective and safe with a long time of analgesy and low rates of complications. There is a need for more prospective studies with a larger number of patients. (SETB-2018-04-051)

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