A comparison between double-injection axillary brachial plexus block and midhumeral block for emergency upper limb
Régis Fuzier1, Olivier Fourcade, Antoine Pianezza
1Department of Anesthesiology and Emergency Care. University Hospital Center. Purpan Hospital, Toulouse, France. fuzier.r@chu-toulouse.fr
Abstract:
In this prospective and randomized study, we compared a double-injection axillary (median and radial nerves) block with a midhumeral block in 90 patients undergoing emergency upper limb surgery. Time to perform the block, success rate, and patient tolerance were evaluated. The time to perform the block was 5 min longer in the midhumeral group. The success rate was similar in both groups (80% and 91% in groups axillary and midhumeral respectively), except for the musculocutaneous nerve. Patient tolerance was better in the axillary group. Double-injection axillary brachial plexus block is superior to midhumeral block for emergency hand surgery.
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