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. 2026 Sep 23;13:1896305. doi: 10.3389/fmed.2026.1896305

Table 2.

Block technique, objective assessment, and rescue pathway.

Variable Level Overall (N = 130) ROP (n = 68) ROP + HYD (n = 62) p-value
Brachial plexus block approach Interscalene 116 (89.2%) 63 (92.6%) 53 (85.5%) 0.188
Supraclavicular 14 (10.8%) 5 (7.4%) 9 (14.5%)
Combined superficial cervical plexus block 0 26 (20.0%) 17 (25.0%) 9 (14.5%) 0.136
1 104 (80.0%) 51 (75.0%) 53 (85.5%)
Other combined block None 120 (92.3%) 66 (97.1%) 54 (87.1%) 0.047
T2 paravertebral field supplementation 10 (7.7%) 2 (2.9%) 8 (12.9%)
Needle type 21G × 50 mm echogenic 17 (13.1%) 9 (13.2%) 8 (12.9%) 0.346
21G × 80 mm echogenic 3 (2.3%) 0 (0.0%) 3 (4.8%)
22G × 50 mm echogenic 99 (76.2%) 54 (79.4%) 45 (72.6%)
22G × 80 mm echogenic 11 (8.5%) 5 (7.4%) 6 (9.7%)
Block onset time, min 14.4 (4.1) 14.3 (3.9) 14.5 (4.2) 0.771
Sensory score at 30 min 1 14 (10.8%) 8 (11.8%) 6 (9.7%) 0.701
2 116 (89.2%) 60 (88.2%) 56 (90.3%)
Motor score at 30 min 1 9 (6.9%) 6 (8.8%) 3 (4.8%) 0.627
2 64 (49.2%) 34 (50.0%) 30 (48.4%)
3 57 (43.8%) 28 (41.2%) 29 (46.8%)
Initial complete block at 30 min 0 14 (10.8%) 8 (11.8%) 6 (9.7%) 0.701
1 116 (89.2%) 60 (88.2%) 56 (90.3%)
Delayed completion before incision 0 124 (95.4%) 64 (94.1%) 60 (96.8%) 0.682
1 6 (4.6%) 4 (5.9%) 2 (3.2%)
Supplemental block 0 120 (92.3%) 62 (91.2%) 58 (93.5%) 0.747
1 10 (7.7%) 6 (8.8%) 4 (6.5%)
IV rescue analgesia for incision 0 126 (96.9%) 65 (95.6%) 61 (98.4%) 0.621
1 4 (3.1%) 3 (4.4%) 1 (1.6%)
Completion pathway Delayed complete block before incision 6 (4.6%) 4 (5.9%) 2 (3.2%) 0.949
Initial complete block 116 (89.2%) 60 (88.2%) 56 (90.3%)
IV rescue then regional anesthesia completion 2 (1.5%) 1 (1.5%) 1 (1.6%)
Supplemental block then success 6 (4.6%) 3 (4.4%) 3 (4.8%)
Surgical anesthesia success 1 130 (100.0%) 68 (100.0%) 62 (100.0%) NA
Conversion to general anesthesia 0 130 (100.0%) 68 (100.0%) 62 (100.0%) NA

Sensory score: 0 = no loss, 1 = reduced, 2 = absent cold/pinprick. Motor score: 0 = no block, 1 = mild, 2 = marked, 3 = complete.