Ultrasound-guided supraclavicular versus infraclavicular brachial plexus nerve block in chronic renal failure patients undergoing arteriovenous fistula creation

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Ultrasound-guided infraclavicular brachial plexus block.

BACKGROUND Peripheral nerve blocks are almost always performed as blind procedures. The purpose of this study was to test the feasibility of seeing individual nerves of the brachial plexus and directing the block needle to these nerves with real time imaging. METHODS Using ultrasound guidance, infraclavicular brachial plexus block was performed in 126 patients. Important aspects of this stand...

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Ultrasound-guided supraclavicular brachial plexus block.

UNLABELLED In this study, we evaluated state-of-the-art ultrasound technology for supraclavicular brachial plexus blocks in 40 outpatients. Ultrasound imaging was used to identify the brachial plexus before the block, guide the block needle to reach target nerves, and visualize the pattern of local anesthetic spread. Needle position was further confirmed by nerve stimulation before injection. T...

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Ultrasound-guided axillary brachial plexus block versus local infiltration anesthesia for arteriovenous fistula creation at the forearm for hemodialysis in patients with chronic renal failure

BACKGROUND The primary failure rate for arteriovenous fistula (AVF) creation under local anesthesia for hemodialysis is about 30%. Axillary brachial plexus block (BPB) may improve blood flow through blood vessels used in fistula creation; it may improve the AVF blood flow and thus may reduce the primary failure rate after 3 months. METHODS Hundred and forty patients with chronic renal failure...

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Ultrasound-guided axillary brachial plexus block in patients with chronic renal failure: report of sixteen cases.

In this report, 16 patients with end-stage renal disease undergoing forearm arteriovenous shunt surgery were subjected to an ultrasound-guided axillary approach for brachial plexus nerve block. Two doses of 15 ml lidocaine 1.5% were injected using a double-shot technique The spread of the solution within the plexus sheath could be visualized using a high-resolution 12-MHz imaging probe. Most pa...

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Axillary approach versus the infraclavicular approach in ultrasound-guided brachial plexus block: comparison of anesthetic time

BACKGROUND With ultrasound guidance, the success rate of brachial plexus block (BPB) is 95-100% and the anesthetic time has become a more important factor than before. Many investigators have compared ultrasound guidance with the nerve stimulation technique, but there are few studies comparing different approaches via the same ultrasound guidance. We compared the axillary BPB with the infraclav...

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ژورنال

عنوان ژورنال: Egyptian Journal of Anaesthesia

سال: 2014

ISSN: 1110-1849

DOI: 10.1016/j.egja.2013.12.006