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[High conduction block of the brachial plexus using axillary approach]
Vestnik Akademii Meditsinskikh Nauk SSSR
|January 1, 1990
Summary
A novel brachial plexus block technique using a rigid catheter in the axillary approach ensures effective anesthesia for upper limb surgeries. This method, validated by anatomical and clinical studies, minimizes complications and offers a protocol for continuous anesthesia.
Area of Science:
- Anesthesiology
- Surgical Techniques
- Regional Anesthesia
Background:
- Brachial plexus blocks are crucial for upper limb surgery anesthesia.
- Existing techniques may have limitations in efficacy or complication rates.
Purpose of the Study:
- To present an original technique for brachial plexus block via an axillary approach.
- To detail a method for achieving high efficacy and preventing complications.
Main Methods:
- Developed a technique involving rigid catheter insertion into the paraneural space up to the sternoclavicular triangle.
- Elaborated methodology using anatomical (n=20) and clinicoradiological (n=29) studies.
- Gathered clinical evidence from 115 anesthesias for reconstructive and plastic upper limb operations.
Main Results:
- The presented technique demonstrates high efficacy in anesthesia for upper limb procedures.
- The method is associated with the prevention of common complications.
- A protocol for maintaining anesthesia with repeated doses of lidocaine, trimecaine, and bupivacaine was established.
Conclusions:
- The described axillary brachial plexus block technique offers a safe and effective anesthesia method.
- This approach is suitable for long-term reconstructive and plastic surgeries of the upper limb.
- The study provides a practical protocol for continuous conduction anesthesia maintenance.