The effects of interscalene brachial plexus block on humeral arterial blood flow: A Doppler ultrasound study

被引：22
作者：
Iskandar, H
Wakim, N
Benard, A
Manaud, B
Ruel-Raymond, J
Cochard, G
Huber, C
机构：
[1] Clin Chirurg Bordeaux Merignac, Dept Anesthesiol, F-33700 Merignac, France
[2] Univ Bordeaux 2, ISPED, F-33076 Bordeaux, France
来源：
ANESTHESIA AND ANALGESIA | 2005年 / 101卷 / 01期
关键词：
D O I：
10.1213/01.ANE.0000154188.15821.E9
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
In this study we investigated and quantified the effects of interscalene block (ISB) on humeral arterial blood flow (HBF). Eleven patients scheduled for shoulder arthroscopic surgery under ISB were prospectively studied. A Doppler ultrasound of the humeral artery was performed before, and 30 min after, the ISB. The resistance index and the HBF were measured at the level of the midpoint of the upper arm. The median (interquartile range) of resistance index decreased from 0.98 (0.95-1.00) to 0.81 (0.77-0.91) (P < 0.01). The median HBF increased from 32 (18-46) to 88 (59-98) mL/min (P < 0.01). We conclude that ISB enhances arterial blood flow and decreases arterial resistance.
引用
收藏
页码：279 / 281
页数：3
相关论文
共 10 条
[1]  
AHADIAN F, 1994, PROBLEMS ANESTHESIA, P186
[2]   CONTINUOUS PLEXUS BLOCKADE FOR IMPROVED CIRCULATION IN MICROVASCULAR SURGERY [J].
BERGER, A ;
TIZIAN, C ;
ZENZ, M .
ANNALS OF PLASTIC SURGERY, 1985, 14 (01) :16-19
[3]   Lidocaine versus ropivacaine for continuous interscalene brachial plexus block after open shoulder surgery [J].
Casati, A ;
Vinciguerra, F ;
Scarioni, M ;
Cappelleri, G ;
Aldegheri, G ;
Manzoni, P ;
Fraschini, G ;
Chelly, JE .
ACTA ANAESTHESIOLOGICA SCANDINAVICA, 2003, 47 (03) :355-360
[4]   Use of colour Doppler sonography for quantitation of the changes in the blood flow following axillary plexus block [J].
Ebert, B ;
Braunschweig, R ;
Reill, P .
ANAESTHESIST, 1995, 44 (12) :859-862
[5]   Cutaneous sympathetic vasoconstrictor reflexes for the evaluation of interscalene brachial plexus block [J].
Lehtipalo, S ;
Winsö, O ;
Koskinen, LOD ;
Johansson, G ;
Biber, B .
ACTA ANAESTHESIOLOGICA SCANDINAVICA, 2000, 44 (08) :946-952
[6]  
MERCEDES C, 1993, POSTOPERATIVE PAIN M, P343
[7]   Pain relief after arthroscopic shoulder surgery: A comparison of intraarticular analgesia, suprascapular nerve block, and interscalene brachial plexus block [J].
Singelyn, FJ ;
Lhotel, L ;
Fabre, B .
ANESTHESIA AND ANALGESIA, 2004, 99 (02) :589-592
[8]   Comparison of 0.2% ropivacaine, 0.125% bupivacaine, and 0.25% bupivacaine for duration and magnitude of action in peripheral arterial blood flow induced by sympathetic block in dogs [J].
Takahashi, Y ;
Yamaguchi, S ;
Tezuka, M ;
Kimura, Y ;
Nagao, M ;
Yamazaki, H ;
Hamaguchi, S .
REGIONAL ANESTHESIA AND PAIN MEDICINE, 2004, 29 (05) :441-445
[9]   Systemically administered α2-agonist-induced peripheral vasoconstriction in humans [J].
Talke, P ;
Lobo, E ;
Brown, R .
ANESTHESIOLOGY, 2003, 99 (01) :65-70
[10]  
YOSHIYUKI K, 2001, REG ANESTH PAIN MED, V26, P329
1