Evaluate the Effect of Different Methods of Anxiolysis on Ultrasound Guided Brachial Plexus Block Success in Patients undergoing Upper Limb Surgery

Introduction: Preoperative anxiety is common and can affect surgical outcomes. The APAIS test is used to measure anxiety levels and need for information. Regional anesthesia, like brachial plexus block, is preferred for upper limb surgeries due to fewer side effects. However, anxiety can still affect patients, impacting block success. Ultrasound guidance improves outcomes but doesn’t eliminate block failure, prompting research into anxiety management’s impact on block success. Aims: The aim of the study is to assess the effect of various anxiety reduction methods on the success of ultrasound-guided brachial plexus block in upper limb surgery patients. Objective of the study is to investigate and compare the impact of counselling, and injection midazolam on ultrasound-guided brachial plexus block performance Methodology: Randomized controlled study will be conducted in 100 patients undergoing upper limb surgery under ultrasound guided brachial plexus block. Patients will be randomly divided into 2 groups of 50 each group A receiving preoperative counciling and group B receiving preoperative midazolam, patients will be evaluated for anxiety with HAM-A and APAIS in the preoperative area. Significance of the study: Explore various interventions to ease anxiety and enhance outcomes in ultrasound-guided brachial plexus block for upper limb surgeries