ORIGINAL RESEARCH

Anesthesiology and Critical Care Medicine

doi: 10.25005/2074-0581-2024-26-4-577-586
OPTIMAL CATHETER SECUREMENT FOR EXTENDED BRACHIAL PLEXUS BLOCKADE

O.N. YAMSHCHIKOV1,2, A.P. MARCHENKO1,2, S.A. EMELYANOV1,2, O.D. IVANOVA1,3, S.O. YAMSHCHIKOVA4

1Derzhavin Tambov State University, Medical Institute, Tambov, Russian Federation
2City Clinical Hospital of Kotovsk, Kotovsk, Russian Federation
3I.S. Dolgushin City Clinical Hospital № 3, Tambov, Russian Federation
4I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation

Objective: To develop and implement an effective method of placing and maintaining perineural catheters during an extended brachial plexus block (BPB) via a supraclavicular approach. This method was based on patient and medical personnel feedback and focused on comfort, efficiency, and convenience.

Methods: : The research involved patients who had undergone surgery for fractures of the humerus and forearm bones and had received extended BPB via the supraclavicular approach. The patients were categorized into three groups based on the method of catheter fixation. The first group consisted of patients with catheter fixation in the supraclavicular region using an adhesive patch (n=31), the second group had catheter fixation using a Perifix® (B. Braun Melsungen AG, Germany), a catheter securement device (n=33), and the third group had the catheter fixed with a subcutaneous tunnel and loop (n=34). The study aimed to determine the most comfortable, effective, and convenient method of catheter fixation for extended BPB. Two questionnaires were used to assess this, one for the patients and the other for medical personnel. The scores from both questionnaires were combined, and a comparative analysis of the three fixation methods was conducted.

Results: In the first group of patients, the level of comfort, efficiency, and convenience was evaluated as unsatisfactory (7.0 [7.0; 10.0]); in the second group, the assessment was deemed satisfactory (12.0 [11.0; 13.0]). However, in the third group of patients, the level of comfort, efficiency, and convenience was rated as optimal (16.0 [15.0; 17.0], p<0.001).

Conclusion: According to the study results, the most comfortable, effective, and convenient catheter fixation method for extended BPB via supraclavicular approach involved a subcutaneous tunnel and loop in the subclavian region.

Keywords: Prolonged brachial plexus block, catheter fixation, the optimal method of catheter fixation, comfort, efficiency, and convenience of fixation.

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Authors' information:


Yamshchikov Oleg Nikolaevich,
Doctor of Medical Sciences, Head of the Department of Hospital Surgery with a Course of Traumatology, Medical Institute, Derzhavin Tambov State University; Chief Physician, Kotovsk City Clinical Hospital
ORCID ID: 0000-0001-6825-7599
SPIN: 9115-2547
E-mail: yamschikov.oleg@yandex.ru

Marchenko Aleksandr Petrovich,
Candidate of Medical Sciences, Associate Professor of the Department of Hospital Surgery with a Course of Traumatology, Medical Institute, Derzhavin Tambov State University; Head of Anesthesiology and Intensive Care Department, Kotovsk City Clinical Hospital
ORCID ID: 0000-0002-9387-3374
SPIN: 9253-4117
E-mail: sashamarchen@mail.ru

Emelyanov Sergey Aleksandrovich,
Candidate of Medical Sciences, Associate Professor of the Department of Hospital Surgery with a Course of Traumatology, Medical Institute, Derzhavin Tambov State University; Deputy Chief Physician for Medical Affairs, Kotovsk City Clinical Hospital
ORCID ID :0000-0002-5550-4199
SPIN: 4368-8660
E-mail: cep_a@mail.ru

Ivanova Olga Dmitrievna,
Postgraduate Student, Department of Traumatology and Orthopedics, Medical Institute, Derzhavin Tambov State University; Anesthesiologist-Resuscitator, I.S. Dolgushin Clinical Hospital № 3
ORCID ID: 0000-0002-4895-8600
SPIN: 5800-8948
E-mail: olg.dmi@mail.ru

Yamshchikova Sofia Olegovna,
Student of the Faculty of Medicine, I.M. Sechenov First Moscow State Medical University
ORCID ID: 0009-0004-9453-6056
E-mail: veraymchikova@gmail.com

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:


Ivanova Olga Dmitrievna
Postgraduate Student, Department of Traumatology and Orthopedics, Medical Institute, Derzhavin Tambov State University; Anesthesiologist-Resuscitator, I.S. Dolgushin Clinical Hospital № 3

392000, Russian Federation, Tambov, Karl Marx str., 234/365

Tel.: +7 (980) 7836053

E-mail: olg.dmi@mail.ru


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