OBJECTIVE: @entity5300 provide specific analgesia for upper limb surgery. We present our experience with ultrasound-guided supraclavicular brachial plexus perineural @entity616 for distal upper limb surgery. Although single-injection ultrasound-guided supraclavicular @entity616 have been reported, little is known about the advantages using this approach compared with nerve stimulator guided. METHODS: There were 60 @entity1 who underwent upper limb surgery for orthopedic @entity130 and received a supraclavicular brachial plexus anesthesia. 30 @entity1 (U-group) were injected by an ultrasound-guided technique with the needle tip remaining under direct vision. 30 @entity1 (NS-group) were inserted by nerve stimulator guided. Recorded the onset time, puncture times, @entity158 cases with tourniquet in each group. Compared the difference between two groups. RESULTS: In U-group, all cases had successful perineural injection. Most of them, effect of anesthesia was fast onset and needed insert only once. No @entity158 were reported under using tourniquet. There were no vessel punctures or other direct procedure-related complications. In NS-group, most injections were successful, but slow onset and needed multiply insert needle. 5 @entity1 said @entity158 under using tourniquet when surgery started and had to add opioid by vein. One @entity1 ' lung were puncture and result in pneumothorax. One @entity1 's was intravascular injection. CONCLUSIONS: Supraclavicular brachial plexus perineural insertion using ultrasound guidance is feasible and almost have no complications, deserves further study with a randomized controlled trial comparing this relatively new technique with only using nerve stimulator.

The technique comparison of brachial plexus XXXX by ultrasound guided with @entity616 by nerve stimulator guided.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity616 :: ('MESH:D006327', 'Disease') :: ['blocks'] @entity5300 :: ('MESH:D020516', 'Disease') :: ['Brachial plexus perineural blocks'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pains'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma']
@entity616 :: (MESH:D006327,Disease) :: ['blocks']
