Injecting local anesthetic at the seeking current would be appealing.It would save time and avoid potentially dangerous manipulations of the needle. This study aimed to test the hypotheses that in vertical infraclavicular block, injecting local anesthetic at a seeking current of 0.8 mA would produce the same quality of block as injecting at ≤0.5mA. A total of sixty ASA I -III adult patients sch...

Received: August 20, 2008. Accepted: November 19, 2008. Corresponding author: Chun Woo Yang, M.D., Department of Anesthesiology and Pain Medicine, College of Medicine, Konyang University, Gasuwon-dong, Seo-gu, Daejeon 302-718, Korea. Tel: 82-42-600-9319, Fax: 82-42-545-2132, E-mail: [email protected] Copyright c Korean Society of Anesthesiologists, 2009 Comparison of vertical infraclavicular br...

Objectives: Ultrasound-guided supraclavicular and infraclavicular blocks are commonly used for upper extremity surgery. The primary aims of our study were to compare block success, block onset times and performance times; secondary aims were to compare the number of needle advancements, and incidence of adverse events of ultrasound-guided supraclavicular or infraclavicular blocks. Methods: 110 ...

Background. Distal arm surgery is widely performed under regional anesthesia with brachial plexus block. The preponderance of evidence for the efficacy relies upon injection of local anesthetic in excess of 30 mL. We aimed to compare three different ultrasound-guided brachial plexus block techniques restricting the total volume to 20 mL. Methods. 120 patients were prospectively randomized to ul...

Corresponding author: Po Soon Kang, M.D., Department of Anesthesiology and Pain Medicine, School of Medicine, Konyang University, 685, Gasuwon-dong, Seo-gu, Daejeon 302-718, Korea. Tel: 82-42-600-9316, Fax: 82-42-545-2132, E-mail: [email protected] This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http:// creativecommons.or...

Successful brachial plexus block requires a thorough knowledge of anatomy, both to decide on the appropriate approach and to locate the nerves. The plexus is traditionally found at specific anatomical points by using bony or vascular landmarks, whereas ultrasound allows block of the plexus at any point along its length. The course of the brachial plexus and its relationship to nearby structures...

Background Ipsilateral phrenic nerve blockade is a common adverse event after an interscalene brachial plexus block, which can result in respiratory deterioration in patients with preexisting pulmonary conditions. Diaphragm-sparing nerve block techniques are continuing to evolve, with the intention of providing satisfactory postoperative analgesia while minimizing hemidiaphragmatic paralysis af...

BACKGROUND Interscalene brachial plexus block is currently the gold standard for intra- and post-operative pain management for patients undergoing arthroscopic shoulder surgery. However, it is associated with block related complications, of which effect on the phrenic nerve have been of most interest. Side effects caused by general anesthesia, when this is required, are also a concern. We hypot...