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Formerly Journal of Turgut Ozal Medical Center - ISSN 1300-1744

  • Annals of Medical Research



    Annals of Medical Research International Monthly Published Medical Journal

  • Annals of Medical Research

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  • Annals of Medical Research


    Annals of Medical Research indexed in TÜBİTAK/ULAKBİM Tıp Veri Tabanı

  • Annals of Medical Research


    Annals of Medical Research indexed in

  • Annals of Medical Research
  • Annals of Medical Research
  • Annals of Medical Research
  • Annals of Medical Research

Dear readers,

Our journal is the official publication of Inonu University Medical Faculty and published uninterruptedly for 25 years. It was first published as the name of Inonu University Medical Journal and later as Journal of Turgut Ozal Medical Center. During its publication period, the journal accepted Turkish or English articles for publication.

Abstracting in an international index is just a paramount objective in the 25th year of the journal. Because of this goal, it was necessary to make a decision both in terms of journal name and publication language. It was important in this respect that the name of a general medical journal should be related to medicine again and it should be in English. For these reasons, the name of the journal was switched to Annals of Medical Research and its publication language is changed to in English. The logo of the journal was chosen as an apricot, which is the symbol of our city Malatya, the world capital of apricot. I hope the journal succeeds with its new name. Annals of Medical Research is It is published monthly.

Editor-in-Chief
Cuneyt Kayaalp

 

Comparison of different arm positions and angles with ultrasound for infraclavicular block (pp. 976-9)

Comparison of different arm positions and angles with ultrasound for infraclavicular block (pp. 976-9)

Orhan Binici, Evren Buyukfirat
Harran Uniıversity Faculty of Medicine Department of Anesthesiology and Reanimation, Sanliurfa, Turkey

Abstract
Aim: Nerve blocks are used more frequently with the introduction of ultrasound. Anesthesiologists prefer the infraclavicular nerve block because of its ease of administration and lack of complications. During the infraclavicular block, it is unclear to what angle the arm is to be given and in what position it is to be made. In our study, we aimed to measure and compare the distances of the axillary artery from the skin by giving different angles to the arm in the presence of ultrasound.
Material and Methods: A total of 30 volunteers between the ages of 20-65 included in the study. While the forearm was in the anatomic position (Group A), the arm abducted from the shoulder at 0.45 and 90 degrees. At each angle, the distances of the different points of the axillary artery (posterior, anterior and central) to the skin compared. The same measurements repeated by flexing the forearm at 90 degrees from the elbow (Group B).
Results: In Group A and Group B, the distances of all points of the axillary artery to the skin found to be inversely proportional to the abduction angle. In all measurements, the shortest skin distance found at 90 degrees of abduction angle (p 0.05). There was no statistically significant difference between Group A and Group B in the same angles
Conclusion: When performing ultrasound guided infraclavicular block, anesthesiologists should prefer the easiest method. We found that the distance of the axillary artery to the skin and needle entry decreased as the abduction angle of the arm increased in three different measurements. As a result of our study, we believe that the best angle for the infraclavicular block can be done by giving 90 degree abduction angle to the arm.
Keywords: Nerve block; ultrasonography; brachial plexus
   

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doi: 10.5455/annalsmedres.2019.02.108

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Annals of Medical Research is the scientific official journal of the Inonu University Faculty of Medicine. It is published monthly. The essential aim of the Annals of Medical Research is to publish scientifically high quality clinical and experimental research articles on fields of medicine which can contribute to the literature data. In addition, review articles, case reports, editorials, letters to the editors and manuscripts on publication ethics and medical history, which can contribute to the education and practices of physicians and health sector professionals within the scope of the journal’s target audience and which can increase the level of scientific communication between the authors and readers, are included in the scope of the journal.

 

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