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Войти в исследования European journal of anaesthesiology and intensive care · 2025
Impact of supraclavicular versus axillary brachial plexus block on long-term pain, functionality, and return-to-work outcomes in 6692 surgical procedures.
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Droog Wouter, van der Oest Mark J W, Slijper Harm P, Coert J Henk, Stolker Robert Jan, Galvin Eilish M
Аннотация
BACKGROUND AND OBJECTIVES: We investigated long-term pain and functionality outcomes following the supraclavicular and axillary brachial plexus block as regard to determine whether there are differences in outcomes following both blocks.
DESIGN: Observational study.
SETTING: Patients scheduled for elective distal surgery of the upper extremity in 22 private hand surgery centres, between November 2011 and May 2016, were included.
PATIENTS: A total of 6692 ASA 1-2 patients, undergoing elective day-case surgery on the upper extremity under either single shot supraclavicular or axillary brachial plexus regional anaesthesia.
MAIN OUTCOME MEASURES: Rating-scales on pain and functionality were obtained preoperatively, at day 1, 6 weeks, and at 3 and 12 months postoperatively. In addition, patients time to return to work was obtained.
RESULTS: No difference was detected in pain and functionality scores between supraclavicular and axillary block patients from 6 weeks up to 12 months postoperatively, except for less pain following axillary block at day-one and during use at 6 weeks.
CONCLUSIONS: The current study reports no superiority of one block over the other in terms of long-term postoperative pain, functionality, and return-to-work outcome. Anaesthetists are therefore free to choose between the supraclavicular and axillary brachial plexus block based on personal preference.
TRIAL REGISTRATION: The local research ethics committee approved and registered this study (registration number: MEC-2018-1088).
DESIGN: Observational study.
SETTING: Patients scheduled for elective distal surgery of the upper extremity in 22 private hand surgery centres, between November 2011 and May 2016, were included.
PATIENTS: A total of 6692 ASA 1-2 patients, undergoing elective day-case surgery on the upper extremity under either single shot supraclavicular or axillary brachial plexus regional anaesthesia.
MAIN OUTCOME MEASURES: Rating-scales on pain and functionality were obtained preoperatively, at day 1, 6 weeks, and at 3 and 12 months postoperatively. In addition, patients time to return to work was obtained.
RESULTS: No difference was detected in pain and functionality scores between supraclavicular and axillary block patients from 6 weeks up to 12 months postoperatively, except for less pain following axillary block at day-one and during use at 6 weeks.
CONCLUSIONS: The current study reports no superiority of one block over the other in terms of long-term postoperative pain, functionality, and return-to-work outcome. Anaesthetists are therefore free to choose between the supraclavicular and axillary brachial plexus block based on personal preference.
TRIAL REGISTRATION: The local research ethics committee approved and registered this study (registration number: MEC-2018-1088).