scholarly journals Ultrasound-guided axillary brachial plexus block versus local infiltration anesthesia for arteriovenous fistula creation at the forearm for hemodialysis in patients with chronic renal failure

2017 ◽  
Vol 11 (1) ◽  
pp. 77 ◽  
Author(s):  
WH Nofal ◽  
SM El Fawal ◽  
AA Shoukry ◽  
EAS Sabek ◽  
WFA Malak
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Brachial Plexus ◽  
Arteriovenous Fistula ◽  
Brachial Plexus Block ◽  
Ultrasound Guided ◽  
Local Infiltration ◽  
Local Infiltration Anesthesia ◽  
Plexus Block ◽  
Infiltration Anesthesia

Surgical Treatment of Distal Radius Fractures under the Ultrasound-Guided Brachial Plexus Block Performed by Surgeons

2019 ◽  
Vol 24 (02) ◽  
pp. 147-152 ◽  
Author(s):  
Hiroyuki Obata ◽  
Kiyohito Naito ◽  
Yoichi Sugiyama ◽  
Nana Nagura ◽  
Mayuko Kinoshita ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
General Anesthesia ◽  
Distal Radius ◽  
Brachial Plexus Block ◽  
Distal Radius Fractures ◽  
Ultrasound Guided ◽  
Radius Fractures ◽  
Local Infiltration Anesthesia ◽  
Plexus Block ◽  
Infiltration Anesthesia

Background: The upper limb surgery under the ultrasound-guided brachial plexus block is becoming popular due to its safety, effectiveness, and convenience. However, the uneven distribution of anesthesiologists become a social problem. Ultrasound-guided brachial plexus block by surgeons has been widespread especially in hand surgeons. We report the surgical treatment of distal radius fractures under the ultrasound-guided brachial plexus block performed by surgeons in our hospital. Methods: The subjects were 101 patients (41 males and 60 females, average age 61.6 years) who underwent surgery for distal radius fractures under ultrasound-guided brachial plexus block administered by orthopedists at our university or related facilities between January 2014 and June 2016. Brachial plexus block was administered through the supraclavicular approach. The time from initiation of anesthesia to initiation of surgery, mean operative time, the presence or absence of additional anesthesia (local infiltration anesthesia, intravenous anesthesia, and general anesthesia), and complications were evaluated. Results: The mean time from brachial plexus block to initiation of surgery was 35.7 (20–68) minutes, and the mean operative time was 90.5 (35–217) minutes. Surgery was completed with brachial plexus block alone in 62 patients (61.4%), and additional anesthesia was necessary in 39 patients (38.6%). Furthermore, general anesthesia was employed in 6 patients (5.9%). No serious complications occurred. Conclusions: According to our results, the operation could be completed with brachial plexus block alone and additional local infiltration anesthesia or intravenous anesthesia in 94.1% (95 cases). However, 6 cases (5.9%) shifted to general anesthesia. Although it needs training, we consider that hand surgery including distal radius fractures treatment under the ultrasound-guided brachial plexus block is possible. On the other hand, cooperation or a cooperative system with anesthesiologists is necessary for surgeons to administer this anesthesia.

High doses of mepivacaine for brachial plexus block in patients with end-stage chronic renal failure. A pilot study

2001 ◽  
Vol 18 (3) ◽  
pp. 171-176 ◽  
Author(s):  
J. Rodríguez ◽  
O. Quintela ◽  
M. López-Rivadulla ◽  
M. Bárcena ◽  
C. Diz ◽  
...  
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Pilot Study ◽  
Brachial Plexus ◽  
Brachial Plexus Block ◽  
High Doses ◽  
End Stage ◽  
Plexus Block

High doses of mepivacaine for brachial plexus block in patients with end-stage chronic renal failure. A pilot study

2001 ◽  
Vol 18 (3) ◽  
pp. 171-176 ◽  
Author(s):  
J. Rodriguez ◽  
O. Quintela ◽  
M. Lopez-Rivadulla ◽  
M. Barcena ◽  
C. Diz ◽  
...  
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Pilot Study ◽  
Brachial Plexus ◽  
Brachial Plexus Block ◽  
High Doses ◽  
End Stage ◽  
Plexus Block
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