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Abstract SUMMARY AND CONCLUSION Regional anaesthesia is more advantageous compared with general anaesthesia due to patient being conscious, protecting the airway reflexes, analgesia continuing during the postoperative period, patient’s early mobilization, and a shorter time of hospital stay. The infraclavicular and axillary approaches to block the brachial plexus is widely used to provide anaesthesia for surgery of the forearm and hand. Block can be performed ultrasound guided or nerve stimulator guided. The aim of this work was to compare the effect of ultrasound guided and nerve stimulator guided brachial plexus block for infraclavicular and axillary approaches. Patients had been randomly divided into four equal groups each contains 30 patients. Each group received 40 ml of drug (20 ml of 0.5% bupivacaine + 10 ml of 2% lignocaine + 10 ml normal saline). (6) group I: Ultrasound guided infraclavicular group. group II: Nerve stimulator guided infraclavicular group. group III: Ultrasound guided axillary group. group IV: Nerve stimulator guided axillary group. The following data was recorded: 1- Block performance time 2- Success rate 3- Onset of sensory and motor block 4- Duration of sensory and motor block 5- Vital data 6- Incidence of complications. |