A sixty-five-year-old man had a twenty-six-year history of rheumatoid arthritis. An axillary block of the right brachial plexus was performed for an arthroplasty of a metacarpophalangeal joint on the right hand, with interposition of a spacer of silicone rubber. The patient’s medical history included hypercholesterolemia, arteriosclerotic peripheral vascular disease, arteriosclerotic coronary a...

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...

PURPOSE To update the gross and sonographic anatomy and propose landmarks to perform ultrasound-guided (US-guided) axillary brachial plexus block (BPB) in rabbits. METHODS Forty New Zeeland's rabbit (NZR) cadavers were dissected and the nerves were trimmed, identified, measured, and photographed. Additionally, in twenty NZRs, sonographic images of brachial plexus (BP) were performed through a...

To the Editor, We read with great interest the recently reported study of Chan et al.1 This study warrants comment due to the low success rates reported after axillary brachial plexus block, despite the authors’ internationally recognized experience with these techniques. The study compared regional anesthesia of the upper limb using an ultrasound-guided (US) approach (the most expensive techni...

Brachial plexus block using axillary approach is a simple and safe method of regional anesthesia often used for elbow, forearm and hand surgery. Different techniques can be used to achieve brachial plexus block. On using perivascular approach to brachial plexus, we neither searched for paresthesia nor used nerve stimulator to identify the correct needle position within the neurovascular sheet. ...

Ultrasound-guidance may help anesthesiologists to perform regional anesthesia in special situations. Bigeleisen reported an uncomplicated infraclavicular block under ultrasound guidance, in a patient having received 5000 U of heparin 2 h before the block [1]. Even if a recent report reminds us that vascular puncture remains still possible during ultrasound guided nerve blocks [2], cases have re...

Axillary brachial plexus block is an effective method of anaesthesia for the surgeries performed on the hand, forearm and distal third of the arm. However it has the risk of serious complications such as cardiovascular and central nervous system toxicity. Levobupivacaine is a long acting amide local anaesthetic used for epidural, caudal, spinal, infiltration and peripheral nerve blocks. Levobup...

The traditional axillary perineural (PN) approach for brachial plexus block is frequently used, but separate musculocutaneous nerve (MCN) required and increases procedure time patient discomfort. We hypothesized that a using the proximal perivascular (PPV) method at MCN branching from lateral cord would obviate need an while ensuring quality similar to of PN method. For group (n = 25), needle w...

This prospective, randomized, double-blind study compared two techniques of axillary brachial plexus block using a peripheral nerve stimulator. Both groups received initial musculocutaneous nerve block followed by either a single injection on median nerve stimulation (group 1) or a double injection divided between median and radial nerves (group 2). All 60 patients received a total of 30 ml of ...