BACKGROUND Infraclaviculr Brachial plexus (ICBP) block is useful for upper extremity surgery. The aim of this study was to compare the ultrasound (US) technique with the nerve stimulation (NS) technique in their success rates and times to perform ICBP block. METHODS 60 patients undergoing surgery of the upper limb were randomly allocated into two groups (n = 30 per group). Group 1; US, and Gr...

a rare anatomical innervation of the musculocutaneous nerve m.m. taghavi msc , m. shariati kohbanani msc , s.m. seyedmirzaee md received: 24/09/06 sent for revision: 20/02/07 received revised manuscript: 07/04/07 accepted: 27/05/07 background and objectives: anatomically the musculocutaneous nerve (c5,6 ) is a branch of lateral cord of the brachial plexus and its motor nerve fibers innervates t...

A prospective randomized double-blind study was conducted which involved, 60 ASA 1-2, aged 18-65 years patients, who had elective or emergency orthopaedic surgeries of the upper limbs. They were randomly divided into two groups: Group I received 30 mls of 0.5% ropivacaine; and Group II received 0.5% levobupivacaine for infraclavicular brachial plexus block based on the coracoid approach. The on...

BACKGROUND AND OBJECTIVES Stimulating catheters provide feedback regarding the location of the catheter tip in relation to the target nerve or plexus. There is debate concerning whether stimulating catheters may reduce the failure rate of postoperative analgesia or whether they may enhance functional recovery by providing superior and more reliable postoperative analgesia. METHODS Studies com...

BACKGROUND General anesthesia (GA) and brachial plexus block have been used successfully for surgery on the upper extremities. Controversy exists as to which method is more suitable in outpatients undergoing hand and wrist surgery. The authors hypothesized that infraclavicular brachial plexus block (INB) performed with a short-acting local anesthetic would result in shorter time to discharge ho...

CAN J ANESTH 55: 5 www.cja-jca.org May, 2008 outcome of the infraclavicular brachial plexus blocks. At our institution, instead of making use of “three factors,” we utilize one common endpoint to ensure the success of the blocks. It is the deposition of the local anesthetic (LA) around the brachial plexus cords. We believe that having the LA “bathe” the nerves is important in predicting the suc...

BACKGROUND Use of an infraclavicular block is appropriate for surgery of the upper limb. However, it does not consistently block the entire brachial plexus. The aim of this study was to investigate whether increasing the dose of ropivacaine could enhance the success rate, onset time, and efficacy of the sensory and motor block during the use of a vertical infraclavicular block using neurostimul...