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Related Concept Videos

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

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Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
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Spinal Nerves: Plexus I01:22

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Nerve plexuses are networks of interlacing nerves that serve as communication hubs to distribute and organize nerve action across various body regions. The nerve plexuses are organized into the cervical plexus located in the neck region, brachial plexus in the shoulder area, lumbar plexus found in the lower back, sacral plexus situated in the pelvis, and coccygeal plexus located in the coccygeal region.
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
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Assessing Body Temperature - Axilla01:14

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Procedural Guide for Assessing Axillary Body Temperature using a Digital Thermometer:
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
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Ultrasonography01:17

Ultrasonography

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Ultrasonography is an imaging technique that uses high-frequency sound waves to visualize the body's internal structures. It is a non-invasive and safe procedure that does not involve the use of ionizing radiation, making it widely used in various medical fields. Ultrasonography is used to study heart function, blood flow in the neck or extremities, certain conditions such as gallbladder disease, and fetal growth and development.
During an ultrasonography procedure, a handheld device called...
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Local Anesthetics: Differential Sensitivity of Nerve Fibers01:24

Local Anesthetics: Differential Sensitivity of Nerve Fibers

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Local anesthetics (LAs) block the sodium channels of nerve trunks, sensory nerve endings, and neuromuscular junctions. Although LAs can block all kinds of nerves, the sensitivity of nerve fibers differs according to nerve types and structures. LAs are known to block myelinated fibers faster than unmyelinated ones. Also, they block pain or sensory neurons at low concentrations without affecting the motor neurons involved in muscle contractions. This helps relieve labor pain without affecting the...
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Arteries of the Upper Limbs01:12

Arteries of the Upper Limbs

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The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
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Related Experiment Video

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Author Spotlight: Enhancing Success of Ultrasound-Guided Neuraxial Anesthesia in Cases with Difficult Anatomy
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Ultrasound guided axillary brachial plexus plexus block. Part 2 - technical issues.

Piotr Nowakowski1, Andrzej Bieryło

  • 1Department of Anesthesiology and Intensive Care, Czerniakowski Hospital, Warsaw, Poland. piotr.nowakowski@wum.edu.pl.

Anaesthesiology Intensive Therapy
|September 25, 2015
PubMed
Summary

Ultrasound-guided axillary brachial plexus block offers safe and adaptable regional anesthesia techniques. This method enhances precision by incorporating patient anatomy, improving anesthetic plans for various applications.

Keywords:
axillary blockbrachial plexusperipheral nerve blockregional anaesthesiatechniques

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Area of Science:

  • Anesthesiology
  • Regional Anesthesia
  • Ultrasound Imaging

Background:

  • Axillary brachial plexus block is a common peripheral nerve block.
  • Its popularity is due to safety, ease, and broad applicability.
  • Techniques have advanced with nerve localization modalities.

Purpose of the Study:

  • To discuss technical details of ultrasound-guided axillary brachial plexus block.
  • To review efficacy issues associated with these techniques.
  • To highlight the adaptability of ultrasound guidance for regional anesthesia.

Main Methods:

  • Review of ultrasound-guided axillary brachial plexus block techniques.
  • Discussion of traditional perivascular and selective nerve blockade methods.
  • Consideration of operator skill and patient-specific anatomy.

Main Results:

  • Ultrasound is the primary localization technique in regional anesthesia.
  • Ultrasound-guided axillary block offers various approaches adaptable to skill levels.
  • Methods allow for integration of patient anatomical variations into anesthesia plans.

Conclusions:

  • Ultrasound-guided axillary brachial plexus block provides flexible and effective regional anesthesia.
  • Technique selection can be tailored to operator proficiency.
  • This approach optimizes anesthetic delivery by considering individual patient anatomy.