Evidence map›Paper›PMID 33823208›Full record

Trial reportBrazilian journal of anesthesiology (Elsevier)

Does local anesthetic temperature affect the onset and duration of ultrasound-guided infraclavicular brachial plexus nerve block?: a randomized clinical trial.

Ilker Ince, Muhammed Ali Arı, Aysenur Dostbil, Esra Kutlu Yalcin, Ozgur Ozmen, M Zafeer Khan, Tetsuya Shimada, Mehmet Aksoy, Kutsi Tuncer

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Brazilian journal of anesthesiology (Elsevier). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ilker InceAtaturk University School of Medicine, Department of Anesthesiology and Reanimation, Erzurum, Turkey; Ataturk University, Anesthesiology Clinical Research Office, Erzurum, Turkey; Cleveland Clinic, Outcomes Research Consortium, Cleveland, United States. Electronic address: ilkerince1983@yahoo.com.
Muhammed Ali ArıAtaturk University School of Medicine, Department of Anesthesiology and Reanimation, Erzurum, Turkey.
Aysenur DostbilAtaturk University School of Medicine, Department of Anesthesiology and Reanimation, Erzurum, Turkey; Ataturk University, Anesthesiology Clinical Research Office, Erzurum, Turkey.
Esra Kutlu YalcinCleveland Clinic, Outcomes Research Consortium, Cleveland, United States.
Ozgur OzmenAtaturk University School of Medicine, Department of Anesthesiology and Reanimation, Erzurum, Turkey; Ataturk University, Anesthesiology Clinical Research Office, Erzurum, Turkey.
M Zafeer KhanCleveland Clinic, Outcomes Research Consortium, Cleveland, United States.
Tetsuya ShimadaCleveland Clinic, Outcomes Research Consortium, Cleveland, United States; National Defense College, Department of Pharmacology, Tokorozawa, Japan.
Mehmet AksoyAtaturk University School of Medicine, Department of Anesthesiology and Reanimation, Erzurum, Turkey; Ataturk University, Anesthesiology Clinical Research Office, Erzurum, Turkey.
Kutsi TuncerAtaturk University, Anesthesiology Clinical Research Office, Erzurum, Turkey; Ataturk University, School of Medicine, Department of Orthopaedic Surgery, Erzurum, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInfraclavicular brachial plexus nerve block is a commonly performed anesthesiology technique in the upper extremity. Local anesthetics may be administered at different temperatures for both neuraxial and peripheral nerve blocks. We aimed to evaluate the effects of the temperature of the local anesthetic at the time of administration on the onset and duration of sensory and motor blocks in infraclavicular brachial plexus nerve block.

methodsA total of 80 patients undergoing elective upper extremity surgery were randomly assigned to one of the following groups using a computer-based randomization software; low temperature (4 °C) (Group L, n = 26), room temperature (25 °C) (Group R, n = 27) and warmed (37 °C) (Group W, n = 27). A 1:1 mixture of 2% lidocaine and 0.5% bupivacaine was used as local anesthetic. Infraclavicular brachial plexus nerve block was performed under ultrasound guidance in all patients preoperatively. The onset and duration of sensory and motor blocks were recorded.

resultsEach group had different onset of motor (p < 0.001) and sensory (p < 0.001) blocks. The duration of motor block was similar between groups (p = 221). However, a significant difference was found in the duration of sensory block between group L (399.1 ± 40.8 min) and group R (379.6 ± 27.6 min) (p = 0.043). There was no complication related to nerve block procedure.

conclusionsThe administration of the local anesthetic at lower temperatures may prolong the onset of both motor and sensory blocks in infraclavicular brachial plexus nerve block.

Indexed as

Brachial PlexusBrachial Plexus BlockAnesthetics, LocalHumansTemperatureUltrasonography, InterventionalAnesthetics, LocalBrachial plexusInterventional ultrasonographyLocal anestheticNerve blockTemperature

Identifiers

PMID33823208
PMCPMC9373242

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.