Aim: The line from the midpoint of the sternocleidomastoid muscle to the midpoint of the clavicle was considered the surface projection of the brachial plexus in the supraclavicular region in a previous report using radiological and anatomic techniques. The needle insertion site was the point between the clavicular one-third and cervical two-thirds of this line. The aim of the present study was...

The time from the end of surgery to the administration of the first post-operative analgesic has been measured in 86 patients following brachial plexus block with bupivacaine, lignocaine, nepivacaine or prilocaine. A signficant increase in time occurred with bupivacaine; the combination of regional and general anesthesia significantly increased the time when compared with general anaesthesia in...

Department of Anesthesiology and Intensive Care, Hand Microsurgery Orthopedics and Traumatology Hospital, Izmir; Department of Anesthesiology and Intensive Care, Celal Bayar University Faculty of Medicine, Manisa El Mikrocerrahi Ortopedi ve Travmatoloji Hastanesi, Anesteziyoloji ve Yoğun Bakım Kliniği, İzmir; Celal Bayar Üniversitesi Tıp Fakültesi, Anesteziyoloji ve Yoğun Bakım Anabilim Dalı, M...

The authors report a case of hypertensive emergency (defined as systolic blood pressure >180 mm Hg and diastolic blood pressure >110 mm Hg with end organ damage) following brachial plexus blockade in a hypertensive lady with unstable angina. The authors describe blocking of baroreceptor reflexes by the local anaesthetic as a putative mechanism and suggest that this potentially serious complicat...