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[Brachial plexus block anesthesia in the upper limb surgery (author's transl)].
Summary
This study evaluated 139 brachial plexus blocks, finding a 7.9% overall failure rate. Researchers suggest locoregional anesthesia is a viable alternative to general anesthesia when possible.
Area of Science:
- Anesthesiology
- Regional Anesthesia
Context:
- Over a two-year period, 139 brachial plexus blocks were performed.
- Blocks utilized both axillary (92) and supraclavicular (47) approaches.
Purpose:
- To assess the efficacy and complication rates of brachial plexus blocks.
- To compare failure rates between axillary and supraclavicular approaches.
- To evaluate different local anesthetic agents and mixtures.
Summary:
- The study reported a 6.5% failure rate for axillary blocks and 10.6% for supraclavicular blocks, averaging 7.9% overall.
- Various local anesthetics (Lidocaine, Mepivacaine, Bupivacaine) were used, with optimized mixtures adopted.
- No complications were observed during the study period.
Impact:
- Highlights the effectiveness of brachial plexus blocks as a locoregional anesthesia technique.
- Suggests prioritizing locoregional anesthesia over general anesthesia when feasible.
- Provides data on anesthetic choices and their success rates in brachial plexus procedures.