BIC VS BAX, QUEL BLOC CHOISIR EN URGENCE? EXPERIENCE DU TRAUMA CENTRE DU CHU IBN ROCHD DE CASABLANCA

Background: For upper limb procedures, brachial plexus block is a commonly used anesthetic method. The axillary block (AXB) and the infraclavicular block (ICB) are two popular methods that are compared in this study.

Objective: To assess the clinical efficacy and characteristics of AXB and ICB while accounting for clinical, sonographic, and demographic parameters.

Methods: Four months from July to October 2024, a prospective, single-blind, randomized descriptive research was carried out in the Trauma Center at CHU Ibn Rochd in Casablanca. There were 111 patients in all. Software called Jamovi 2022 was used to analyze the data, and the Chi-square test (P < 0.05) was used for statistical comparisons.

Results: ICB was administered to 55 individuals, whereas AXB was given to 61. For AXB and ICB, the average amounts of local anesthetic utilized were 40 mL and 25 5 mL, respectively. There were no postoperative or perioperative problems noted. Both poor echogenicity and high body mass index (BMI) were shown to be significantly correlated, as was the requirement for sedation or general anesthesia (GA) when BMI and echogenicity were combined.

Conclusion: Although recent evidence points to BICs superiority, operator skill is still very important, particularly in emergency situations.