AXILLARY BRACHIAL PLEXUS BLOCK: CHOICE OF TECHNIQUE?

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Axillary brachial plexus block: method of choice?

The first brachial plexus block is said to have been performed by William Halsted in 1884 [32], soon after Roller [13] had demonstrated the local anaesthetic properties of cocaine. He injected the drug under direct vision, after exposing the plexus using infiltration anaesthesia. The first percutaneous blocks were performed independently in 1911 by Hirschel [11] and Kulenkampff [14], using the ...

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Axillary Brachial Plexus Block

The axillary approach to brachial plexus blockade provides satisfactory anaesthesia for elbow, forearm, and hand surgery and also provides reliable cutaneous anaesthesia of the inner upper arm including the medial cutaneous nerve of arm and intercostobrachial nerve, areas often missed with other approaches. In addition, the axillary approach remains the safest of the four main options, as it do...

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Ultrasound guided axillary brachial plexus block.

The axillary brachial plexus block is the most widely performed upper limb block. It is relatively simple to perform and one of the safest approaches to brachial plexus block. With the advent of ultrasound technology, there is a marked improvement in the success rate of the axillary block. This review will focus on the technique of ultrasound guided axillary brachial plexus block.

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Ultrasound guidance improves success rate of axillary brachial plexus block.

PURPOSE The purpose of this study is to determine if real time ultrasound guidance improves the success rate of axillary brachial plexus blockade. METHODS Patients undergoing elective hand surgery were randomly assigned to one of three groups. Axillary blocks were performed using three motor response endpoints in the nerve stimulator (NS) Group, real-time ultrasound guidance in the ultrasound...

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Axillary brachial plexus block--an underused technique in the accident and emergency department.

OBJECTIVE To compare axillary brachial plexus block and Bier's block as methods of providing upper limb anaesthesia. METHODS Axillary brachial plexus or Bier's blocks were performed on all patients requiring upper limb anaesthesia in a three month period. For Bier's block, a single cuff tourniquet and 3 mg/kg 0.5% prilocaine were used. For axillary plexus block, 40 ml 1% lignocaine with adren...

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ژورنال

عنوان ژورنال: British Journal of Anaesthesia

سال: 1990

ISSN: 0007-0912

DOI: 10.1093/bja/65.3.438