Ultrasound-guided nerve blocks are quickly becoming integrated into emergency medicine practice for pain control and as an alternative to procedural sedation. Common, but potentially catastophic errors have not been reported outside of the anesthesiology literature. Evaluation of the brachial plexus with color Doppler should be standard for clinicians performing a supraclavicular brachial plexu...

Background: There are different anesthetic techniques for AVF (Arterio-venous fistula) creation as general anesthesia, regional anesthesia and local anesthetic infiltration. Sympathetic nerve block is produced by regional anesthesia which increases intraoperative venous diameter and vessel flow, both intra-operatively and for several hours post-operatively. Regional anesthesia can maintain adeq...

INTRODUCTION The brachial plexus block is a commonly performed procedure in the anesthetic practice today. It is performed for analgesia as well as anesthesia for upper limb procedures. It has been used for amputation and replantation surgeries of the upper limb. CASE PRESENTATION We present the case of a 68-year-old gentleman who had brachial plexus block at supraclavicular and interscalene ...

Background. For hand surgery, brachial plexus blocks provide effective anesthesia but produce undesirable numbness. We hypothesized that distal peripheral nerve blocks will better preserve motor function while providing effective anesthesia. Methods. Adult subjects who were scheduled for elective ambulatory hand surgery under regional anesthesia and sedation were recruited and randomly assigned...

The first brachial plexus block is said to have been performed by William Halsted in 1884 [32], soon after Roller [13] had demonstrated the local anaesthetic properties of cocaine. He injected the drug under direct vision, after exposing the plexus using infiltration anaesthesia. The first percutaneous blocks were performed independently in 1911 by Hirschel [11] and Kulenkampff [14], using the ...

We wanted to determine whether 1 of 3 brachial plexus blocks was best for one of our most common surgeries, the cubital tunnel release with or without transposition of the ulnar nerve. Brachial plexus blocks can provide excellent results for upper extremity surgery, but we noticed inexplicable block failure for cubital tunnel releases with an incision in the proximal arm. In this case series, w...

Background: Alpha-2 agonists are added to local anesthetic agents to extend the duration of peripheral nerve blocks. Objective: We evaluated the effect of combining dexmedetomidine with levobupivacine with respect to duration of motor and sensory block and duration of analgesia. Material and Methods: Sixty patients of ASA grade I or II aged between 18-60 years, posted for elective upper limb su...

Background: Supraclavicular nerve block is a method for upper limb surgery in Anesthesiology. In this method that is common for supraclavicular block, injection anesthesia on the first rib and it has complications such as pneumothorax, phrenic never pulsy, infection, intra spinal injection. In this study injection with a 10 degree cephalic side as compared with the first rib in order to decreas...

Abstract Background Supraclavicular block is a common technique for analgesia upper limb surgeries. Because of short duration with bupivacaine alone various additive have been used to prolong the action bupivacaine. We conducted prospective, randomized, double blind controlled trial. All patients were assessed onset and sensory motor block, postoperative pain relief. The present study was aimed...

Background: Procedures that require anesthesia of entire length of the arm should have combined Interscalene block (ISB) and Supraclavicular block (SCB) to ensure adequate block. However, dual block requires high dose of local anesthetic (LA). We examined if Ultrasound (U/S) guided block helps to decrease the required volume of LA by visualizing trunks, so we only need injection of LA toward ce...