Axillary Brachial Plexus Block
The axillary approach to brachial plexus blockade provides satisfactory anaesthesia for elbow, forearm, and hand surgery and also provides reliable cutaneous anaesthesia of the inner upper arm including the medial cutaneous nerve of arm and intercostobrachial nerve, areas often missed with other app...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Anesthesiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2011/173796 |
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| _version_ | 1832565134335148032 |
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| author | Ashish R. Satapathy David M. Coventry |
| author_facet | Ashish R. Satapathy David M. Coventry |
| author_sort | Ashish R. Satapathy |
| collection | DOAJ |
| description | The axillary approach to brachial plexus blockade provides satisfactory anaesthesia for elbow, forearm, and hand surgery and also provides reliable cutaneous anaesthesia of the inner upper arm including the medial cutaneous nerve of arm and intercostobrachial nerve, areas often missed with other approaches. In addition, the axillary approach remains the safest of the four main options, as it does not risk blockade of the phrenic nerve, nor does it have the potential to cause pneumothorax, making it an ideal option for day case surgery. Historically, single-injection techniques have not provided reliable blockade in the musculocutaneous and radial nerve territories, but success rates have greatly improved with multiple-injection techniques whether using nerve stimulation or ultrasound guidance. Complete, reliable, rapid, and safe blockade of the arm is now achievable, and the paper summarizes the current position with particular reference to ultrasound guidance. |
| format | Article |
| id | doaj-art-dea60391b62140eb92c9066156a1e8c2 |
| institution | Kabale University |
| issn | 1687-6962 1687-6970 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Anesthesiology Research and Practice |
| spelling | doaj-art-dea60391b62140eb92c9066156a1e8c22025-02-03T01:09:25ZengWileyAnesthesiology Research and Practice1687-69621687-69702011-01-01201110.1155/2011/173796173796Axillary Brachial Plexus BlockAshish R. Satapathy0David M. Coventry1Department of Anaesthesia, Ninewells Hospital and Medical School, Dundee DD1 9SY, UKDepartment of Anaesthesia, Ninewells Hospital and Medical School, Dundee DD1 9SY, UKThe axillary approach to brachial plexus blockade provides satisfactory anaesthesia for elbow, forearm, and hand surgery and also provides reliable cutaneous anaesthesia of the inner upper arm including the medial cutaneous nerve of arm and intercostobrachial nerve, areas often missed with other approaches. In addition, the axillary approach remains the safest of the four main options, as it does not risk blockade of the phrenic nerve, nor does it have the potential to cause pneumothorax, making it an ideal option for day case surgery. Historically, single-injection techniques have not provided reliable blockade in the musculocutaneous and radial nerve territories, but success rates have greatly improved with multiple-injection techniques whether using nerve stimulation or ultrasound guidance. Complete, reliable, rapid, and safe blockade of the arm is now achievable, and the paper summarizes the current position with particular reference to ultrasound guidance.http://dx.doi.org/10.1155/2011/173796 |
| spellingShingle | Ashish R. Satapathy David M. Coventry Axillary Brachial Plexus Block Anesthesiology Research and Practice |
| title | Axillary Brachial Plexus Block |
| title_full | Axillary Brachial Plexus Block |
| title_fullStr | Axillary Brachial Plexus Block |
| title_full_unstemmed | Axillary Brachial Plexus Block |
| title_short | Axillary Brachial Plexus Block |
| title_sort | axillary brachial plexus block |
| url | http://dx.doi.org/10.1155/2011/173796 |
| work_keys_str_mv | AT ashishrsatapathy axillarybrachialplexusblock AT davidmcoventry axillarybrachialplexusblock |