{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:31:35Z","timestamp":1787761895891,"version":"build-2784847793"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aims:<\/jats:title>\n                    <jats:p>The most effective approach for infraclavicular brachial plexus block in adults is to target the posterior cord, usually situated posterior to axillary artery. However, we do not know if this can be extrapolated in children. Our primary objective was to compare the clinical success rate of ultrasound guided infraclavicular brachial plexus block in children with local anesthetic injection aimed at two targets. These were posterior to axillary artery (posterior cord) and lateral to axillary artery (lateral cord). The secondary objectives involved need for intraoperative rescue analgesia, evaluation of duration of analgesia, incidence of complications such as pneumothorax and arterial puncture, comparison of postoperative pain scores and fluoroscopic dye spread pattern was also observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods:<\/jats:title>\n                    <jats:p>\n                      It was a randomized, prospective pilot study. Forty children undergoing forearm and hand surgeries were randomized to two groups, in accordance with the target site of the block. Target sites of Group P (20 patients) and Group L (20 patients) were posterior and lateral to the axillary artery, i.e., posterior and lateral cord respectively. Aforesaid objectives were assessed. SPSS (Version 15.0) statistical package was used. Comparison between Group L and P was by using student\u2019s unpaired\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      test for age and weight. Fisher\u2019s exact probability test was applied to compare percentages between groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Blocks of both groups were equally successful. No patient required intraoperative rescue analgesia. Duration of analgesia was comparable. Both groups had no major complications and similar postoperative pain scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The success rate of infraclavicular brachial plexus block by aiming at the lateral and posterior cord was similar.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/joacp.joacp_235_21","type":"journal-article","created":{"date-parts":[[2023,5,11]],"date-time":"2023-05-11T22:01:20Z","timestamp":1683842480000},"page":"181-188","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Infraclavicular block in children: Is blocking lateral or posterior cord equally successful?"],"prefix":"10.4103","volume":"39","author":[{"given":"Vrushali C.","family":"Ponde","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology, Surya Children Hospital, Mumbai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kriti J.","family":"Puri","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ankit P.","family":"Desai","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Surya Children Hospital, Mumbai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anuya A.","family":"Gursale","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Surya Children Hospital, Mumbai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serpil U. O.","family":"Zehra","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Reanimation, University of MAA Acibadem, Istanbul"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashok N.","family":"Johari","sequence":"additional","affiliation":[{"name":"Department of Paediatric Orthopaedic Surgery, Children Orthopaedic Centre, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,2,10]]},"reference":[{"key":"R1-20240828","doi-asserted-by":"crossref","first-page":"746","DOI":"10.4103\/ija.IJA_502_19","article-title":"Recent trends in paediatric regional anaesthesia","volume":"63","author":"Ponde","year":"2019","journal-title":"Indian J Anaesth"},{"key":"R2-20240828","doi-asserted-by":"crossref","first-page":"i114","DOI":"10.1093\/bja\/aet379","article-title":"Applications of regional anaesthesia in 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Sci"},{"key":"R12-20240828","doi-asserted-by":"crossref","first-page":"e8428","DOI":"10.1097\/MD.0000000000008428","article-title":"Role of positioning posterior cord on coracoid approach brachial plexus block guided by nerve stimulator:Compared with guided by ultrasound","volume":"96","author":"He","year":"2017","journal-title":"Medicine (Baltimore)"},{"key":"R13-20240828","doi-asserted-by":"crossref","first-page":"642","DOI":"10.1111\/j.1365-2044.2004.03669.x","article-title":"Ultrasound guidance for infraclavicular brachial plexus anaesthesia in children","volume":"59","author":"Marhofer","year":"2004","journal-title":"Anaesthesia"},{"key":"R14-20240828","doi-asserted-by":"crossref","first-page":"134","DOI":"10.4103\/1658-354X.114054","article-title":"Infraclavicular brachial plexus block:Comparison of posterior cord stimulation with lateral or medial cord stimulation, a prospective double blinded study","volume":"7","author":"Sharma","year":"2013","journal-title":"Saudi J Anaesth"}],"container-title":["Journal of Anaesthesiology Clinical 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