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...

Objectives: Wide awake local anesthesia no tourniquet (WALANT) is a anesthetic technique that, in theory, reduces costs and surgical waiting periods. The purpose of this study was to compare axillary block (AXB) with WALANT terms pain scores, duration hospital stay, hand function patients who underwent CTR surgery. Methods: Between January 2015 February 2020, retrospective analysis conducted on...

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...

PURPOSE The operative field for vascular access (VA) surgery in the forearm is on the volar surface, and motor nerve block is not necessary for regional anesthesia. Therefore, selective block of branches of the brachial plexus may be a more efficient anesthesia technique. METHODS Individual nerve blocks in the axillary brachial plexus and selective blocks of the musculocutaneous and medial an...

BACKGROUND AND OBJECTIVES A prospective, randomized, controlled, double-blind clinical trial to assess the effect of tramadol and ketamine, 50 mg, added to ropivacaine in brachial plexus anesthesia. METHODS Thirty-six ASA physical statuses I and II patients, between 18 and 60 years of age, scheduled for forearm and hand surgery under axillary brachial plexus block, were allocated to 3 groups....

BACKGROUND AND OBJECTIVES Brachial plexus block is used for upper limbs anesthesia. The use of ultrasound-guided (USG) technique for blockade has become popular in recent years, facilitating its execution by providing real-time images of the plexus and surrounding structures while minimizing complications. The purpose of this report is to describe a case of pneumothorax following ultrasound-gui...