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Pain Management 2018
Internal Medicine 2018 International Journal of Anesthesiology & Pain Medicine
ISSN: 2471-982X Page 28
March 26-28, 2018
Vienna, Austria
JOINT EVENT
7 t h E d i t i o n o f I n t e r n a t i o n a l C o n f e r e n c e o n
Internal Medicine and Patient Care
&
6 t h E d i t i o n o f I n t e r n a t i o n a l C o n f e r e n c e o n
Pain Management
Volume 4
T he brachial plexus blockade with ultrasound guidance
became popular for upper limb surgery. Peripheral nerve
blockade (PNB) avoids complications of general anaesthesia,
provides better postoperative analgesia, and lowers the risk of
local anaesthetic systemic toxicity. The quality of ultrasound
guide (UG) PNB can be characterized by many factors. The
evaluation of the onset of sensory and motor blockade
sometimes challenging. Even if the anaesthesiologist defined
the complete onset of sensory blockade the patient can feel
some disturbing sensation during surgery. The evaluation of
the quality of the blockade alone doesn’t assess the whole
intraoperative condition of the patient. To the best of our
knowledge there is no any simplified tool for the assessment of
the quality of UG PNB from the aspect of sensory, motor, coping
and postoperative pain. An easy-to-use, GCS (Glasglow Coma
Scale)-like scale was developed and tested in our clinic. Ninety-
five patients, ASA (American Society for Anaesthesiologist) I-III
were scheduled for unilateral upper extremity surgery using
standardized UG PNB anaesthesia. Patients were randomized
into 3 groups (G1 lidocaine; G2 bupivacaine; G3 bupivacaine
+ lidocaine) with standardized dose of 0.4 ml/kg BW, and 30
ml maximal volume. The sensory motor, coping of patient and
postoperative pain qualities are measured with a five point
scale from 0 to 4 points respectively. There was no difference
in the quality of PNB measured by tolerance scale between the
three groups. No any operation was abandoned and none of
the patients needed GA due to failed PNB. More than 90% of
the patient were defined as Good or Excellent. A single pinprick
and touch test may fail to define complete loss of sensation
because of the possibility of differential block. The satisfaction
of patients with the overall care they have received can be
evaluated by this new tool.
Biography
Robert Julius Almasi is from University of Pecs Medical School, Hungary.
A new simplified tolerance scale for the assessment of the
success of ultrasound guided peripheral nerve blockade
Robert Julius Almasi
University of Pecs Medical School, Hungary
Robert Julius Almasi, Int J Anesth Pain Med 2018, Volume 4
DOI: 10.21767/2471-982X-C1-002