Ultrasound Guided Axillary Brachial Plexus Block In Pediatric Patients (8-17 Years Old) in a Specialized Tertiary Orthopedic Hospital

ABSTRACT

Brachial Plexus Block   is the widely performed upper limb block. Axillary brachial plexus block provides reliable anesthesia and   analgesia to the arm distal to the   shoulder. The safety and effectiveness of axillary brachial plexus block in   pediatric patients aged 8-17 years   for the months of June to October 2022 were   investigated. The study included a total of 45 patients with an average age of 13.76 years, predominantly male (73.33%) with the majority classified as ASA I (88.89%).   The most common surgical procedures performed were ORIF plating of the radial ulna (RU) shaft on the left (15.56%) and right (15.56%) sides, followed by ORIF plating of RU on the left   (8.89%). Average onset of the block was 26.44 minutes, with a mean duration   of motor block lasting 15.87 hours and sensory block lasting 19.91 hours. Only 17.78% of the participants   required rescue medications for post-operative pain management, while the majority (82.22%) did not. Vital signs remained stable. Hence,   axillary brachial plexus block is a   safe and effective anesthesia technique for pediatric   patients undergoing upper extremity surgeries,   as it evident with reliable pain control and   recorded vital signs throughout the perioperative period.