Minimum volume of local anaesthetic required for an axillary brachial plexus block

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منابع مشابه

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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Ultrasonographic study of the spread of local anaesthetic during axillary brachial plexus block.

Ultrasonography has been used to demonstrate the anatomy of the axilla, to confirm the placement of a cannula and to visualize the spread of a local anaesthetic solution in the axillary sheath of 10 patients (aged 17-70 yr) for surgery of the forearm and hand. The block was successful in all subjects.

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Estimation of the minimum effective volume of 0.5% bupivacaine for ultrasound-guided axillary brachial plexus block.

BACKGROUND AND OBJECTIVE The use of ultrasound for needle correct placement and local anesthetic spread monitoring helped to reduce the volume of local anesthetic required for peripheral nerve blocks. There are few studies of the minimum effective volume of local anesthetic for axillary brachial plexus block. The aim of this study was to determine the minimum effective volume (VE90) of 0.5% bup...

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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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REGIONAL ANAESTHESIA Minimum volume of local anaesthetic required to surround each of the constituent nerves of the axillary brachial plexus, using ultrasound guidance: a pilot study

Methods. We enrolled 19 ASA I–II patients undergoing hand or forearm surgery. The four nerves of the axillary plexus were identified with ultrasound guidance. Lidocaine 1.5% with epinephrine 1:200 000 was loaded into a syringe driver. A 22 G needle was inserted in the long axis to each nerve and injection commenced using the bolus function (600 ml h). The needle was repositioned until the nerve...

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ژورنال

عنوان ژورنال: British Journal of Anaesthesia

سال: 2010

ISSN: 0007-0912

DOI: 10.1093/bja/aeq220