scholarly journals LEVOBUPIVACAINE AND ITS VENODILATATION EFFECT IN THE UPPER EXTREMITY AFTER AXILLARY BRACHIAL PLEXUS BLOCK BY ULTRASOUND GUIDANCE

2018 ◽  
Author(s):  
Rayos Del Sol Joanna Marie ◽  
Noel S. Aypa
Keyword(s):  
Brachial Plexus ◽  
Upper Extremity ◽  
Ultrasound Guidance ◽  
Brachial Plexus Block ◽  
Axillary Brachial Plexus Block ◽  
Plexus Block

scholarly journals Different Learning Curves for Axillary Brachial Plexus Block: Ultrasound Guidance versus Nerve Stimulation

2010 ◽  
Vol 2010 ◽  
pp. 1-7 ◽  
Author(s):  
C. Luyet ◽  
G. Schüpfer ◽  
M. Wipfli ◽  
R. Greif ◽  
M. Luginbühl ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Nerve Stimulation ◽  
Ultrasound Guidance ◽  
Brachial Plexus Block ◽  
Learning Curves ◽  
Previous Experience ◽  
Nerve Stimulator ◽  
Nerve Blocks ◽  
Axillary Brachial Plexus Block ◽  
Plexus Block

Little is known about the learning of the skills needed to perform ultrasound- or nerve stimulator-guided peripheral nerve blocks. The aim of this study was to compare the learning curves of residents trained in ultrasound guidance versus residents trained in nerve stimulation for axillary brachial plexus block. Ten residents with no previous experience with using ultrasound received ultrasound training and another ten residents with no previous experience with using nerve stimulation received nerve stimulation training. The novices' learning curves were generated by retrospective data analysis out of our electronic anaesthesia database. Individual success rates were pooled, and the institutional learning curve was calculated using a bootstrapping technique in combination with a Monte Carlo simulation procedure. The skills required to perform successful ultrasound-guided axillary brachial plexus block can be learnt faster and lead to a higher final success rate compared to nerve stimulator-guided axillary brachial plexus block.

scholarly journals Ultrasound guidance improves success rate of axillary brachial plexus block

2007 ◽  
Vol 54 (3) ◽  
pp. 176-182 ◽  
Author(s):  
Vincent W. S. Chan ◽  
Anahi Perlas ◽  
Colin J. L. McCartney ◽  
Richard Brull ◽  
Daquan Xu ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Success Rate ◽  
Ultrasound Guidance ◽  
Brachial Plexus Block ◽  
Axillary Brachial Plexus Block ◽  
Plexus Block

scholarly journals Ultrasound Guidance Versus Peripheral Neurostimulation for Brachial Plexus Block Anesthesia with Axillary Approach and Multiple Injection Technique

2017 ◽  
Vol 63 (3) ◽  
pp. 147-151
Author(s):  
Alexandra Lazar ◽  
János Szederjesi ◽  
Elena Iftenie ◽  
Leonard Azamfirei
Keyword(s):  
Brachial Plexus ◽  
Success Rate ◽  
Ultrasound Guidance ◽  
Brachial Plexus Block ◽  
Total Duration ◽  
Low Risk ◽  
Axillary Approach ◽  
Axillary Brachial Plexus Block ◽  
Adjacent Structures ◽  
Plexus Block

AbstractIntroduction:There are several approaches for brachial plexus anesthesia: supraclavicular, infraclavicular, interscalenic and axillary. Out of these, the axillary approach is considered to be the safest because of the low risk of lesioning the adjacent structures, low risk of phrenic nerve blockade or of producing an iatrogenic pneumothorax. The block can be performed by one single injection at the site, by two injections or by several injection, among each nerve of the plexus. Ultrasound was introduced in regional anesthesia since 1978, being used initially as an auxiliary method to peripheral neurostimulator.Objectives: The evaluation of ultrasound efficiency as an auxiliary method for brachial plexus block performance, in terms of success rate, vascular punctures. The influence of obesity on performing time, total duration of the block, and success rate of brachial plexus block.Material and method: Prospective, randomized study which enrolled adult patients, scheduled for surgical emergency or elective surgical intervention on upper limb with brachial plexus block by axillary approach, using either the peripheral nerve stimulation or the ultrasound guidance.Results: We enrolled 160 patients, grouped in two sets- the ultrasound group= 82 patients (US) the neurostimulation group = 78 patients (NS). Vascular punctures were statistically significant different p= 0, 04. The success rate was not influenced by the obesity.Conclusions: Ultrasound guidance makes axillary brachial plexus block safer, we can recommend ultrasound guidance as routine for axillary brachial plexus block. The obese patient can beneficiate by both methods of brachial plexus blockage.

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