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Research Paper | Anaesthesiology | India | Volume 14 Issue 4, April 2025 | Popularity: 5.6 / 10
Comparison of Ultrasound with Peripheral Nerve Stimulator Guided Technique for Supraclavicular Block in Upper Limb Surgeries: A Randomised Controlled Trial
Nikumani Mazumdar
Abstract: In my view, what stands out in this randomized controlled trial is not just the statistical significance of the outcomes, but the practical implications for real-world surgical anesthesia. The research thoughtfully compares ultrasound-guided (USG) and peripheral nerve stimulator (PNS)-guided supraclavicular brachial plexus blocks among patients undergoing upper limb surgeries, uncovering meaningful distinctions in patient comfort, efficiency, and recovery. While the demographic profiles between groups were well balanced, the USG technique clearly demonstrated faster onset of sensory and motor blocks, longer duration of analgesia, and a reduced need for additional pain medication. This suggests that, beyond the numbers, USG offers a more patient-centered approach?streamlining surgery while potentially lowering post-op opioid dependence. Interestingly, despite similar procedure times, patient satisfaction leaned strongly toward USG, a nuance that?s often overlooked in purely data-driven analyses. It is evident that this shift toward ultrasound isn't just about embracing new technology; it's about rethinking how precision and comfort can coexist in anesthesia practices. The findings mirror global trends in regional anesthesia and, in my opinion, reinforce a growing consensus: ultrasound guidance is no longer an optional upgrade?it?s becoming the gold standard.
Keywords: ultrasound-guided block, supraclavicular brachial plexus, peripheral nerve stimulator, upper limb surgery anesthesia, postoperative pain management
Edition: Volume 14 Issue 4, April 2025
Pages: 654 - 656
DOI: https://www.doi.org/10.21275/MR25408194059
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