Year 2020, Volume 4 , Issue 1, Pages 5 - 8 2020-01-02

Electron microscopic examination of needles used in infraclavicular brachial plexus block
İnfraklaviküler brakial pleksus bloğunda blok iğnelerinin elektron mikroskobik incelenmesi

Bora BİLAL [1] , Ömer Faruk BORAN [2] , Mustafa Fevzi SARGON [3] , Kemal Erdem BAŞARAN [4] , Adem DOĞANER [5]


Aim: The application of peripheral block is frequently used in anesthesia practice. One of the most significant complications of this procedure is peripheral nerve damage that can develop due to the needles used. The aim of this study was to determine the presence of tissue residue on the needle and to obtain information about damage to surrounding tissues during this procedure by examining the needles used in brachial plexus block with electron microscopy. 

Methods: This prospective-cohort study included patients who were to undergo forearm or hand surgery in the Orthopedics Clinic under anesthesia with infraclavicular brachial plexus block performed with 2 different techniques: The local anesthetic agent was administered to the subclavian artery at 6 and 9 o’clock levels in Group 1 and 2, 6 and 9 o’clock levels in Group 2. The needles used during the block were preserved in glutaraldehyde solution then examined with electron microscopy. The presence of tissue on the needles was recorded and statistical evaluations were made. 

Results: The needles used in two different techniques of infraclavicular brachial plexus block were examined under scanning electron microscope. The amount of tissue residue remaining on the needle in Group 1 was significantly less than that in Group 2 (P<0.001). 

Conclusion: When it is considered that ultrasound provides a 2-dimensional image, the fewer the number of needle manipulations made during the procedure of brachial plexus block application, the less damage will be made to the surrounding tissues, thus reducing the possibility of mechanical nerve damage.

Amaç: Periferik blok uygulamaları anestezi pratiğinde sıklıkla kullanılmaktadır. Bu işlemin en önemli komplikasyonlarından biri de kullanılan iğnelere bağlı gelişebilecek periferik sinir hasarıdır. Çalışmamızda brakial pleksus blok işlemlerinde kullanılan iğnelerin işlem sonrası elektron mikroskobisi ile incelenerek iğne üzerinde kalan doku parçalarının varlığı ile iğnenin işlem sırasında çevre dokulara verdiği hasar hakkında bilgi sahibi olmak amaçlanmıştır.

Yöntemler: Prospektif kohort olarak planlanan çalışmamızda ortopedi kliniğinde ön kol veya el cerrahisi yapılacak hastalara farklı iki teknik ile infraklaviküler brakial pleksus bloğu ile anestezi yapıldı. İnfraklaviküler blok; Grup 1’de subklavian arterin saat 6 ve 9 hizasına lokal anestezik verilerek, Grup 2’de subklavian arterin saat 2, 6 ve 9 hizasına verilerek uygulandı. Blok sırasında kullanılan iğneler glutaraldehit solüsyonunda korunarak sonrasında elektron mikroskobik olarak incelendi. İğne üzerinde doku varlığı kaydedildi, istatistiksel olarak değerlendirildi.

Bulgular: İnfraklaviküler brakial pleksus bloğunda iki farklı teknikte kullanılan iğnelerin SEM değerlendirilmesinin yapıldığı çalışmamızda. Grup 1'de iğne üzerinde kalan doku kalıntısı miktarı grup 2’den daha az saptanmıştır (P<0,001).

Sonuç: Ultrasonun iki boyutlu görüntü vermesi göz önüne alındığında brakial pleksus blok uygulamalarında işlem sırasında iğne yönlendirme sayısı ne kadar az olursa çevre dokulara daha az zarar verilecektir dahası muhtemel mekanik sinir hasarı olasılığı da azalacaktır.

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Primary Language en
Subjects Anesthesiology
Journal Section Research article
Authors

Orcid: 0000-0003-3884-8042
Author: Bora BİLAL (Primary Author)
Institution: KAHRAMANMARAS SUTCU IMAM UNIVERSITY FACULTY OF MEDICINE
Country: Turkey


Orcid: 0000-0002-0262-9385
Author: Ömer Faruk BORAN
Institution: Kahramanmaras Sutcu Imam University Faculty of Medicine Anesthesiology Department
Country: Turkey


Orcid: 0000-0002-7740-7111
Author: Mustafa Fevzi SARGON
Institution: Atılım University Faculty of Medicine Department of Anatomy
Country: Turkey


Orcid: 0000-0001-6035-9398
Author: Kemal Erdem BAŞARAN
Institution: Erciyes University Faculty of Medicine Department of Physiology
Country: Turkey


Orcid: 0000-0002-0270-9350
Author: Adem DOĞANER
Institution: Kahramanmaras Sutcu Imam University Faculty of Medicine Department of Biostatistics and Medical Informatics
Country: Turkey


Dates

Publication Date : January 2, 2020

Bibtex @research article { josam661093, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2020}, volume = {4}, pages = {5 - 8}, doi = {10.28982/josam.661093}, title = {Electron microscopic examination of needles used in infraclavicular brachial plexus block}, key = {cite}, author = {Bi̇lal, Bora and Boran, Ömer Faruk and Sargon, Mustafa and Başaran, Kemal Erdem and Doğaner, Adem} }
APA Bi̇lal, B , Boran, Ö , Sargon, M , Başaran, K , Doğaner, A . (2020). Electron microscopic examination of needles used in infraclavicular brachial plexus block . Journal of Surgery and Medicine , 4 (1) , 5-8 . DOI: 10.28982/josam.661093
MLA Bi̇lal, B , Boran, Ö , Sargon, M , Başaran, K , Doğaner, A . "Electron microscopic examination of needles used in infraclavicular brachial plexus block" . Journal of Surgery and Medicine 4 (2020 ): 5-8 <http://jsurgmed.com/en/pub/issue/51597/661093>
Chicago Bi̇lal, B , Boran, Ö , Sargon, M , Başaran, K , Doğaner, A . "Electron microscopic examination of needles used in infraclavicular brachial plexus block". Journal of Surgery and Medicine 4 (2020 ): 5-8
RIS TY - JOUR T1 - Electron microscopic examination of needles used in infraclavicular brachial plexus block AU - Bora Bi̇lal , Ömer Faruk Boran , Mustafa Sargon , Kemal Erdem Başaran , Adem Doğaner Y1 - 2020 PY - 2020 N1 - doi: 10.28982/josam.661093 DO - 10.28982/josam.661093 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 5 EP - 8 VL - 4 IS - 1 SN - -2602-2079 M3 - doi: 10.28982/josam.661093 UR - https://doi.org/10.28982/josam.661093 Y2 - 2020 ER -
EndNote %0 Journal of Surgery and Medicine Electron microscopic examination of needles used in infraclavicular brachial plexus block %A Bora Bi̇lal , Ömer Faruk Boran , Mustafa Sargon , Kemal Erdem Başaran , Adem Doğaner %T Electron microscopic examination of needles used in infraclavicular brachial plexus block %D 2020 %J Journal of Surgery and Medicine %P -2602-2079 %V 4 %N 1 %R doi: 10.28982/josam.661093 %U 10.28982/josam.661093
ISNAD Bi̇lal, Bora , Boran, Ömer Faruk , Sargon, Mustafa , Başaran, Kemal Erdem , Doğaner, Adem . "Electron microscopic examination of needles used in infraclavicular brachial plexus block". Journal of Surgery and Medicine 4 / 1 (January 2020): 5-8 . https://doi.org/10.28982/josam.661093
AMA Bi̇lal B , Boran Ö , Sargon M , Başaran K , Doğaner A . Electron microscopic examination of needles used in infraclavicular brachial plexus block. J Surg Med. 2020; 4(1): 5-8.
Vancouver Bi̇lal B , Boran Ö , Sargon M , Başaran K , Doğaner A . Electron microscopic examination of needles used in infraclavicular brachial plexus block. Journal of Surgery and Medicine. 2020; 4(1): 5-8.