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.