The Practical Use of Axillary Brachial Plexus Block for Hand Surgery

1995 ◽  
Vol 20 (5) ◽  
pp. 677-678 ◽  
Author(s):  
D. J. DUNLOP ◽  
C. M. GRAHAM ◽  
J. M. WATT
Keyword(s):  
Retrospective Study ◽  
Brachial Plexus ◽  
Brachial Plexus Block ◽  
Hand Surgery ◽  
General Anaesthetic ◽  
Record Keeping ◽  
Anaesthetic Record ◽  
Axillary Brachial Plexus Block ◽  
Computer Aided ◽  
Plexus Block

A retrospective study of 178 patients undergoing axillary brachial plexus block (ABPB) for hand surgery used information gathered by a computer-aided anaesthetic record keeping system. The practical use of local techniques to augment the block meant that only two of the 178 patients required a general anaesthetic, giving a success rate of' 98.8%. There were no significant complications.

scholarly journals An Estimation of the Minimum Effective Anesthetic Volume of 2% Lidocaine in Ultrasound-guided Axillary Brachial Plexus Block

2009 ◽  
Vol 111 (1) ◽  
pp. 25-29 ◽  
Author(s):  
Brian D. O’Donnell ◽  
Gabrielle Iohom
Keyword(s):  
Brachial Plexus ◽  
Local Anesthetic ◽  
Brachial Plexus Block ◽  
Hand Surgery ◽  
Success Rates ◽  
Ultrasound Guided ◽  
Performance Time ◽  
Axillary Brachial Plexus Block ◽  
Block Success ◽  
Plexus Block

Background Ultrasound guidance facilitates precise needle and injectate placement, increasing axillary block success rates, reducing onset times, and permitting local anesthetic dose reduction. The minimum effective volume of local anesthetic in ultrasound-guided axillary brachial plexus block is unknown. The authors performed a study to estimate the minimum effective anesthetic volume of 2% lidocaine with 1:200,000 epinephrine (2% LidoEpi) in ultrasound-guided axillary brachial plexus block. Methods After ethical approval and informed consent, patients undergoing hand surgery of less than 90 min duration were recruited. A step-up/step-down study model was used with nonprobability sequential dosing based on the outcome of the previous patient. The starting dose of 2% LidoEpi was 4 ml per nerve. Block failure resulted in a dose increase of 0.5 ml; block success in a reduction of 0.5 ml.A blinded assistant assessed sensory and motor blockade at 5-min intervals up to 30 min. Block performance time and duration were measured. Two predetermined stopping points were used; a minimum of five consecutive block success/failures and five consecutive successful blocks at 1 ml per nerve. Results The study was terminated when five consecutive patients had successful blocks using 1 ml of 2% LidoEpi per nerve (overall group n = 11). All five patients had surgical anesthesia within 10 min. The mean (SD) block performance time was 445 (100) s, and block duration was 190 min (range 120-310 min). All surgical procedures were performed under regional anesthesia with anxiolytic sedation provided in 3 of 11 cases. Conclusion Successful ultrasound-guided axillary brachial plexus block may be performed with 1 ml per nerve of 2% LidoEpi.

scholarly journals Open Carpal Tunnel Release:Performed Axillary Brachial Plexus Block vs. Wide Awake

2019 ◽  
Vol 70 (5) ◽  
pp. 1637-1638
Author(s):  
Laura Raducu ◽  
Adelaida Avino ◽  
Cristina-Nicoleta Cozma ◽  
Andra-Elena Balcangiu-Stroescu ◽  
Delia Timofte ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Brachial Plexus ◽  
Carpal Tunnel ◽  
Local Anaesthetic ◽  
Brachial Plexus Block ◽  
Carpal Tunnel Release ◽  
Axillary Brachial Plexus Block ◽  
Plexus Block ◽  
Wide Awake

Ropivacaine and lidocaine are used in surgical anaesthesia for the upper extremety. The first one is indicated for the axillary brachial plexus block and the second one as an local anaesthetic. A retrospective study was realized to evaluate the differences between the two anaesthetic methods used for the carpal tunnel release.

scholarly journals Does the Addition of Tramadol and Ketamine to Ropivacaine Prolong the Axillary Brachial Plexus Block?

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Ahmet Can Senel ◽  
Ozlem Ukinc ◽  
Alper Timurkaynak
Keyword(s):  
Brachial Plexus ◽  
Brachial Plexus Block ◽  
Onset Time ◽  
Hand Surgery ◽  
Double Blind ◽  
Randomized Controlled ◽  
Axillary Brachial Plexus Block ◽  
Double Blind Clinical Trial ◽  
Plexus Block

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. Group R received 0.375% ropivacaine in 40 mL, group RT received 0.375% ropivacaine in 40 mL with 50 mg tramadol, and group RK received 0.375% ropivacaine in 40 mL with 50 mg ketamine for axillary brachial plexus block. The onset times and the duration of sensory and motor blocks, duration of analgesia, hemodynamic parameters, and adverse events (nausea, vomiting, and feeling uncomfortable) were recorded.Results. The onset time of sensorial block was the fastest in ropivacaine + tramadol group. Duration of sensorial and motor block was the shortest in the ropivacaine + tramadol group. Duration of analgesia was significantly longer in ropivacaine + tramadol group.Conclusion. We conclude that when added to brachial plexus analgesia at a dose of 50 mg, tramadol extends the onset and duration time of the block and improves the quality of postoperative analgesia without any side effects.

Sign in / Sign up

Export Citation Format

Share Document