• Ilker Ince, Mehmet Aksoy, Aysenur Dostbil, and Kutsi Tuncer.
• Ataturk University School of Medicine, Department of Anesthesiology and Reanimation, Erzurum, Turkey. Electronic address: ilkerince1983@yahoo.com.
• J Clin Anesth. 2017 Sep 1; 41: 132-136.

ObjectivesTo determine if the infraclavicular brachial plexus block can be applied with lower volume of local anesthetic.DesignRandomised, double-blinded clinical trial.Patients60 patients aged 5-15years with ASA I-II who underwent emergent or elective arm, forearm or hand operations were included in the study.InterventionsPatients were divided into two groups randomly; standard volume local anesthetic administered group (Group S, n=30) and low volume anesthetic administered group (Group L, n=30).MeasurementPostoperative pain scores, sensory and motor block durations were noted.Main ResultsPain scores (Wong-Baker Face Scale) were evaluated and the results were detected to be similar at all times (30min, 1, 2, 4, 8, 12, 24h). Durations of motor block were 168(±16) minutes and 268(±15) minutes in Group L and Group S respectively and the difference was statistically significant (p<0.001). Durations of sensory block were 385(±26) and 402(±39) in Group L and Group S respectively and no statistically significant difference was detected (p=0.064).ConclusionSimilar block success, postoperative sensory block durations and pain scores could be obtained during infraclavicular brachial plexus in pediatric patients with lower local anesthetic volumes.Copyright © 2016 Elsevier Inc. All rights reserved.

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