Effect of Local Anesthetic Volume (15 vs 40 mL) on the Duration of Ultrasound-Guided Single Shot Axillary Brachial Plexus Block

2012 ◽  
Vol 37 (3) ◽  
pp. 242-247 ◽  
Author(s):  
Karin P. W. Schoenmakers ◽  
Jessica T. Wegener ◽  
Rudolf Stienstra
Keyword(s):  
Brachial Plexus ◽  
Local Anesthetic ◽  
Brachial Plexus Block ◽  
Single Shot ◽  
Ultrasound Guided ◽  
Axillary Brachial Plexus Block ◽  
Plexus Block

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.

A prospective, randomized comparison between doubleperivascular (PV) and quadruple and perineural (PN)-injection ultrasound-guided (US) axillary brachial plexus block (AXB)

2013 ◽  
Vol 30 ◽  
pp. 119-119 ◽  
Author(s):  
O. Kiskira ◽  
T. Paraskeuopoulos ◽  
O. Castana ◽  
N. Kritikos ◽  
E. Anesidis ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Brachial Plexus Block ◽  
Ultrasound Guided ◽  
Axillary Brachial Plexus Block ◽  
Plexus Block

scholarly journals Construct validity of a novel assessment tool for ultrasound-guided axillary brachial plexus block

Anaesthesia ◽  
2016 ◽  
Vol 71 (11) ◽  
pp. 1324-1331 ◽  
Author(s):  
O. M. A. Ahmed ◽  
B. D. O'Donnell ◽  
A. G. Gallagher ◽  
D. S. Breslin ◽  
C. M. Nix ◽  
...  
Keyword(s):  
Construct Validity ◽  
Brachial Plexus ◽  
Assessment Tool ◽  
Brachial Plexus Block ◽  
Ultrasound Guided ◽  
Axillary Brachial Plexus Block ◽  
Plexus Block

A clinical assessment tool for ultrasound-guided axillary brachial plexus block

2012 ◽  
Vol 56 (5) ◽  
pp. 616-623 ◽  
Author(s):  
S. F. SULTAN ◽  
G. IOHOM ◽  
J. SAUNDERS ◽  
G. SHORTEN
Keyword(s):  
Brachial Plexus ◽  
Clinical Assessment ◽  
Assessment Tool ◽  
Brachial Plexus Block ◽  
Ultrasound Guided ◽  
Axillary Brachial Plexus Block ◽  
Plexus Block

scholarly journals Ultrasound-guided Continuous Axillary Brachial Plexus Block Using a Nerve Stimulating Catheter: EpiStim® Catheter

2015 ◽  
Vol 28 (4) ◽  
pp. 287 ◽  
Author(s):  
Sang Sik Choi ◽  
Mi Kyoung Lee ◽  
Jung Eun Kim ◽  
Se Hee Kim ◽  
Gwi Eun Yeo
Keyword(s):  
Brachial Plexus ◽  
Brachial Plexus Block ◽  
Ultrasound Guided ◽  
Axillary Brachial Plexus Block ◽  
Stimulating Catheter ◽  
Plexus Block

scholarly journals Ultrasound-Guided Axillary Brachial Plexus Block Performed by OIrthopedic Surgeon for Distal Radius Fracture Surgery

2019 ◽  
Vol 24 (2) ◽  
pp. 152
Author(s):  
Doohoon Sun ◽  
Chul-Hyung Lee ◽  
Cheol-U Kim ◽  
Deukhee Jung ◽  
Chung-Han An
Keyword(s):  
Brachial Plexus ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Brachial Plexus Block ◽  
Radius Fracture ◽  
Ultrasound Guided ◽  
Axillary Brachial Plexus Block ◽  
Plexus Block ◽  
Fracture Surgery
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