OBJECTIVE We hypothesized that ultrasound (US)-guided technique of the supra- and infraclavicular and axillary approaches of brachial plexus block (BPB) will produce a high quality of surgical anesthesia for operations below the shoulder independently of the approach and body mass index (BMI). Intercostobrachial and medial brachial cutaneous nerves will be blocked separately because they are no...

Comparison of the trans-arterial and Winnie techniques of axillary brachial plexus block was made in two groups of patients. This study did not find any statistical difference between the two techniques.

Different additives have been used to prolong regional blockade. We designed a prospective, randomized, double-blind study to evaluate the effect of dexamethasone added to lidocaine on the onset and duration of axillary brachial plexus block. Sixty patients scheduled for elective hand and forearm surgery under axillary brachial plexus block were randomly allocated to receive either 34 mL lidoca...

Back ground: Absence of abduction or presence of restricted abduction movement of shoulder or presence of infection or space occupying mass in axilla creates difficulties or offers impossibilities to expose axilla for brachial plexus block at the same level. Aims: To introduce axillary block in the presence of axillary infection, mass and restricted movement of the shoulder through anterior fol...

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...