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      KCI등재 SCOPUS SCIE

      초음파를 이용한 빗장아래 접근법을 통한 팔신경얼기차단의 유용성: 신경자극기를 이용한 방법과의 비교 = Usefulness of ultrasound-guided infraclavicular brachial plexus block: a comparison with nerve stimulation method

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      https://www.riss.kr/link?id=A104351560

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      다국어 초록 (Multilingual Abstract)

      Background: Recently, ultrasound guidance in clinical procedures including brachial plexus block has gained popularity. This method has been considered to be an efficient and a useful method with real-time visualization. Many reports have showed the usefulness of ultrasound-guided brachial plexus block. We evaluated the usefulness of ultrasound guidance in infraclavicular brachial plexus block compared with nerve stimulation.
      Methods: Thirty patients were randomized into two groups of US group (ultrasound-guided block) and NS group (nerve stimulation). Blocks were performed with mepivacaine 2% and bupivacaine 0.5% with epinephrine 1:200,000 (total volume 40 ml). Block execution time, onset time, success rate, patient's discomfort and complications were measured and statistically evaluated for the comparison.
      Results: Block execution time were 88.3 ± 48.1 sec in US group and 172.7 ± 103.1 sec in group NS, respectively (P = 0.017). Onset time were 16.0 ± 6.9 min and 17.7 ± 7.8 min (P = 0.434). Success rates were 93.3% and 80.0% (P = 0.283). Patient's discomfort was not significantly different. Pain in patients with fractured arm was significantly lower in US group (P = 0.004).
      Conclusions: An ultrasound-guided infraclavicular brachial plexus block is useful with less time consumption and less discomfort in patients with fracture of arm. Success rate and onset time were acceptable.
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      Background: Recently, ultrasound guidance in clinical procedures including brachial plexus block has gained popularity. This method has been considered to be an efficient and a useful method with real-time visualization. Many reports have showed th...

      Background: Recently, ultrasound guidance in clinical procedures including brachial plexus block has gained popularity. This method has been considered to be an efficient and a useful method with real-time visualization. Many reports have showed the usefulness of ultrasound-guided brachial plexus block. We evaluated the usefulness of ultrasound guidance in infraclavicular brachial plexus block compared with nerve stimulation.
      Methods: Thirty patients were randomized into two groups of US group (ultrasound-guided block) and NS group (nerve stimulation). Blocks were performed with mepivacaine 2% and bupivacaine 0.5% with epinephrine 1:200,000 (total volume 40 ml). Block execution time, onset time, success rate, patient's discomfort and complications were measured and statistically evaluated for the comparison.
      Results: Block execution time were 88.3 ± 48.1 sec in US group and 172.7 ± 103.1 sec in group NS, respectively (P = 0.017). Onset time were 16.0 ± 6.9 min and 17.7 ± 7.8 min (P = 0.434). Success rates were 93.3% and 80.0% (P = 0.283). Patient's discomfort was not significantly different. Pain in patients with fractured arm was significantly lower in US group (P = 0.004).
      Conclusions: An ultrasound-guided infraclavicular brachial plexus block is useful with less time consumption and less discomfort in patients with fracture of arm. Success rate and onset time were acceptable.

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      다국어 초록 (Multilingual Abstract)

      Background: Recently, ultrasound guidance in clinical procedures including brachial plexus block has gained popularity. This method has been considered to be an efficient and a useful method with real-time visualization. Many reports have showed the usefulness of ultrasound-guided brachial plexus block. We evaluated the usefulness of ultrasound guidance in infraclavicular brachial plexus block compared with nerve stimulation.
      Methods: Thirty patients were randomized into two groups of US group (ultrasound-guided block) and NS group (nerve stimulation). Blocks were performed with mepivacaine 2% and bupivacaine 0.5% with epinephrine 1:200,000 (total volume 40 ml). Block execution time, onset time, success rate, patient's discomfort and complications were measured and statistically evaluated for the comparison.
      Results: Block execution time were 88.3 ± 48.1 sec in US group and 172.7 ± 103.1 sec in group NS, respectively (P = 0.017). Onset time were 16.0 ± 6.9 min and 17.7 ± 7.8 min (P = 0.434). Success rates were 93.3% and 80.0% (P = 0.283). Patient's discomfort was not significantly different. Pain in patients with fractured arm was significantly lower in US group (P = 0.004).
      Conclusions: An ultrasound-guided infraclavicular brachial plexus block is useful with less time consumption and less discomfort in patients with fracture of arm. Success rate and onset time were acceptable.
      번역하기

      Background: Recently, ultrasound guidance in clinical procedures including brachial plexus block has gained popularity. This method has been considered to be an efficient and a useful method with real-time visualization. Many reports have showed th...

      Background: Recently, ultrasound guidance in clinical procedures including brachial plexus block has gained popularity. This method has been considered to be an efficient and a useful method with real-time visualization. Many reports have showed the usefulness of ultrasound-guided brachial plexus block. We evaluated the usefulness of ultrasound guidance in infraclavicular brachial plexus block compared with nerve stimulation.
      Methods: Thirty patients were randomized into two groups of US group (ultrasound-guided block) and NS group (nerve stimulation). Blocks were performed with mepivacaine 2% and bupivacaine 0.5% with epinephrine 1:200,000 (total volume 40 ml). Block execution time, onset time, success rate, patient's discomfort and complications were measured and statistically evaluated for the comparison.
      Results: Block execution time were 88.3 ± 48.1 sec in US group and 172.7 ± 103.1 sec in group NS, respectively (P = 0.017). Onset time were 16.0 ± 6.9 min and 17.7 ± 7.8 min (P = 0.434). Success rates were 93.3% and 80.0% (P = 0.283). Patient's discomfort was not significantly different. Pain in patients with fractured arm was significantly lower in US group (P = 0.004).
      Conclusions: An ultrasound-guided infraclavicular brachial plexus block is useful with less time consumption and less discomfort in patients with fracture of arm. Success rate and onset time were acceptable.

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      참고문헌 (Reference)

      1 Arcand G, "Ultrasound-guided infraclavicular versus supraclavicular block" 101 : 886-890, 2005

      2 Sandhu NS, "Ultrasound-guided infraclavicular brachial plexus block" 89 : 254-259, 2002

      3 Williams SR, "Ultrasound guidance speeds execution and improves the quality of supraclavicular block" 97 : 1518-1523, 2003

      4 Sites BD, "Ultrasound guidance improves the success rate of a perivascular axillary plexus block" 50 : 678-684, 2006

      5 Chan VW, "Ultrasound guidance improves success rate of axillary brachial plexus block" 54 : 176-182, 2007

      6 Kapral S, "Ultrasonographic guidance improves the success rate of interscalene brachial plexus blockade" 33 : 253-258, 2008

      7 Lecamwasam H, "Stimulation of the posterior cord predicts successful infraclavicular block" 102 : 1564-1568, 2006

      8 Bloc S, "Spread of injectate associated with radial or median nerve-type motor response during infraclavicular brachial- plexus block: an ultrasound evaluation" 32 : 130-135, 2007

      9 Bloc S, "Single-stimulation, low-volume infraclavicular plexus block: influence of the evoked distal motor response on success rate" 31 : 433-437, 2006

      10 Dingemans E, "Neurostimulation in ultrasound-guided infraclavicular block: a prospective randomized trial" 104 : 1275-1280, 2007

      1 Arcand G, "Ultrasound-guided infraclavicular versus supraclavicular block" 101 : 886-890, 2005

      2 Sandhu NS, "Ultrasound-guided infraclavicular brachial plexus block" 89 : 254-259, 2002

      3 Williams SR, "Ultrasound guidance speeds execution and improves the quality of supraclavicular block" 97 : 1518-1523, 2003

      4 Sites BD, "Ultrasound guidance improves the success rate of a perivascular axillary plexus block" 50 : 678-684, 2006

      5 Chan VW, "Ultrasound guidance improves success rate of axillary brachial plexus block" 54 : 176-182, 2007

      6 Kapral S, "Ultrasonographic guidance improves the success rate of interscalene brachial plexus blockade" 33 : 253-258, 2008

      7 Lecamwasam H, "Stimulation of the posterior cord predicts successful infraclavicular block" 102 : 1564-1568, 2006

      8 Bloc S, "Spread of injectate associated with radial or median nerve-type motor response during infraclavicular brachial- plexus block: an ultrasound evaluation" 32 : 130-135, 2007

      9 Bloc S, "Single-stimulation, low-volume infraclavicular plexus block: influence of the evoked distal motor response on success rate" 31 : 433-437, 2006

      10 Dingemans E, "Neurostimulation in ultrasound-guided infraclavicular block: a prospective randomized trial" 104 : 1275-1280, 2007

      11 Kapral S, "Lateral infraclavicular plexus block vs. axillary block for hand and forearm surgery" 43 : 1047-1052, 1999

      12 Wilson JL, "Infraclavicular brachial plexus block: parasagittal anatomy important to the coracoid technique" 87 : 870-873, 1998

      13 Koscielniak-Nielsen ZJ, "Infraclavicular block causes less discomfort than axillary block in ambulatory patients" 49 : 1030-1034, 2005

      14 Franco CD, "Gross anatomy of the brachial plexus sheath in human cadavers" 33 : 64-69, 2008

      15 Levesque S, "Endpoint for successful, ultrasound-guided infraclavicular brachial plexus block" 55 : 308-309, 2008

      16 Sauter AR, "Electrical nerve stimulation or ultrasound guidance for lateral sagittal infraclavicular blocks: a randomized, controlled, observer- blinded, comparative study" 106 : 1910-1915, 2008

      17 Dae Geun Jeon, "Clinical Evaluation of Infraclavicular Block via a Coracoid Approach" 대한마취과학회 51 (51): 6-10, 2006

      18 Borgeat A, "An evaluation of the infraclavicular block via a modified approach of the Raj technique" 93 : 436-441, 2001

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      학술지 이력

      학술지 이력
      연월일 이력구분 이력상세 등재구분
      2023 평가예정 해외DB학술지평가 신청대상 (해외등재 학술지 평가)
      2020-01-01 평가 등재학술지 유지 (해외등재 학술지 평가) KCI등재
      2013-11-27 학회명변경 한글명 : 대한마취과학회 -> 대한마취통증의학회 KCI등재
      2011-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2010-07-20 학술지명변경 한글명 : 대한마취과학회지 -> Korean Journal of Anesthesiology KCI등재
      2009-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2007-01-01 평가 등재 1차 FAIL (등재유지) KCI등재
      2004-01-01 평가 등재학술지 선정 (등재후보2차) KCI등재
      2003-01-01 평가 등재후보 1차 PASS (등재후보1차) KCI등재후보
      2001-07-01 평가 등재후보학술지 선정 (신규평가) KCI등재후보
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      학술지 인용정보

      학술지 인용정보
      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 0.09 0.09 0.1
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.09 0.09 0.27 0.01
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