Effects of different approaches of infraclavicular brachial plexus block on perfusion index and tissue perfusion
Background Although both the lateral sagittal and costoclavicular approaches are applied at the cord level in the infraclavicular region, there is a major difference between the distributions of the two approaches. We aimed to investigate the effects of this different distribution on tissue perfusio...
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Taylor & Francis Group
2025-12-01
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| Series: | Annals of Medicine |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/07853890.2025.2451765 |
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| author | Çağdaş Baytar Bengü Gülhan Köksal |
| author_facet | Çağdaş Baytar Bengü Gülhan Köksal |
| author_sort | Çağdaş Baytar |
| collection | DOAJ |
| description | Background Although both the lateral sagittal and costoclavicular approaches are applied at the cord level in the infraclavicular region, there is a major difference between the distributions of the two approaches. We aimed to investigate the effects of this different distribution on tissue perfusion and oxygenation.Methods Sixty patients undergoing elective elbow, forearm, wrist and hand surgery under infraclavicular brachial plexus block were included in the study. Patients were divided into two groups: group CC (costoclavicular approach, n = 30) and group LS (lateral sagittal approach, n = 30). The primary outcomes of this study were increased perfusion index (PI) and tissue oxygen saturation (StO2) rate. Secondary outcomes were the duration of block application, sensory and motor block onset time, time to first analgesic need and duration of motor block.Results The PI and StO2 increased significantly from baseline to each time point in both groups; however, there were no significant differences between the groups. The time to reach the sensory block stage was shorter with the costoclavicular approach. The duration of block application was shorter when using the costoclavicular approach. There were no differences between the approaches in terms of the time to the first analgesic requirement or need for additional analgesics.Conclusions The different distributions of the two different approaches to infraclavicular brachial plexus block, costoclavicular and lateral sagittal, did not have an additional effect on tissue perfusion and oxygenation. Both approaches can be preferred especially in surgeries in which an increase in tissue perfusion is desired owing to perfusion-enhancing properties.ClinicalTrials.gov identifier NCT04764591. |
| format | Article |
| id | doaj-art-1fa8a14f83984bed832c5d35560431c1 |
| institution | Kabale University |
| issn | 0785-3890 1365-2060 |
| language | English |
| publishDate | 2025-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Annals of Medicine |
| spelling | doaj-art-1fa8a14f83984bed832c5d35560431c12025-01-11T15:56:34ZengTaylor & Francis GroupAnnals of Medicine0785-38901365-20602025-12-0157110.1080/07853890.2025.2451765Effects of different approaches of infraclavicular brachial plexus block on perfusion index and tissue perfusionÇağdaş Baytar0Bengü Gülhan Köksal1Department of Anesthesiology and Reanimation, Zonguldak Bülent Ecevit University Medicine Faculty, Zonguldak, TürkiyeDepartment of Anesthesiology and Reanimation, Zonguldak Bülent Ecevit University Medicine Faculty, Zonguldak, TürkiyeBackground Although both the lateral sagittal and costoclavicular approaches are applied at the cord level in the infraclavicular region, there is a major difference between the distributions of the two approaches. We aimed to investigate the effects of this different distribution on tissue perfusion and oxygenation.Methods Sixty patients undergoing elective elbow, forearm, wrist and hand surgery under infraclavicular brachial plexus block were included in the study. Patients were divided into two groups: group CC (costoclavicular approach, n = 30) and group LS (lateral sagittal approach, n = 30). The primary outcomes of this study were increased perfusion index (PI) and tissue oxygen saturation (StO2) rate. Secondary outcomes were the duration of block application, sensory and motor block onset time, time to first analgesic need and duration of motor block.Results The PI and StO2 increased significantly from baseline to each time point in both groups; however, there were no significant differences between the groups. The time to reach the sensory block stage was shorter with the costoclavicular approach. The duration of block application was shorter when using the costoclavicular approach. There were no differences between the approaches in terms of the time to the first analgesic requirement or need for additional analgesics.Conclusions The different distributions of the two different approaches to infraclavicular brachial plexus block, costoclavicular and lateral sagittal, did not have an additional effect on tissue perfusion and oxygenation. Both approaches can be preferred especially in surgeries in which an increase in tissue perfusion is desired owing to perfusion-enhancing properties.ClinicalTrials.gov identifier NCT04764591.https://www.tandfonline.com/doi/10.1080/07853890.2025.2451765İnfraclavicular blockcostoclavicular approachlateral sagittal approachperfusion indexsensorimotor blockadetissue oxygen saturation |
| spellingShingle | Çağdaş Baytar Bengü Gülhan Köksal Effects of different approaches of infraclavicular brachial plexus block on perfusion index and tissue perfusion Annals of Medicine İnfraclavicular block costoclavicular approach lateral sagittal approach perfusion index sensorimotor blockade tissue oxygen saturation |
| title | Effects of different approaches of infraclavicular brachial plexus block on perfusion index and tissue perfusion |
| title_full | Effects of different approaches of infraclavicular brachial plexus block on perfusion index and tissue perfusion |
| title_fullStr | Effects of different approaches of infraclavicular brachial plexus block on perfusion index and tissue perfusion |
| title_full_unstemmed | Effects of different approaches of infraclavicular brachial plexus block on perfusion index and tissue perfusion |
| title_short | Effects of different approaches of infraclavicular brachial plexus block on perfusion index and tissue perfusion |
| title_sort | effects of different approaches of infraclavicular brachial plexus block on perfusion index and tissue perfusion |
| topic | İnfraclavicular block costoclavicular approach lateral sagittal approach perfusion index sensorimotor blockade tissue oxygen saturation |
| url | https://www.tandfonline.com/doi/10.1080/07853890.2025.2451765 |
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