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Related Experiment Videos

Continuous axillary block through an indwelling Teflon catheter.

R J Neimkin, J W May, J Roberts

    The Journal of Hand Surgery
    |November 1, 1984
    PubMed
    Summary

    Continuous axillary block provides effective anesthesia and analgesia for up to 7 days in replantation surgery. This technique is beneficial for patients who cannot tolerate general anesthesia, enabling complex procedures.

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    Area of Science:

    • Anesthesiology
    • Surgical Procedures
    • Regional Anesthesia

    Background:

    • Continuous regional anesthesia via axillary sheath catheter is a proven brachial plexus blockade method.
    • Replantation surgery demands effective anesthesia and analgesia for extended durations.

    Purpose of the Study:

    • To confirm the efficacy of continuous axillary block in brachial plexus blockade.
    • To demonstrate its utility in replantation surgery for prolonged anesthesia and analgesia.
    • To assess its role in enabling complex procedures for high-risk patients.

    Main Methods:

    • Placement of a catheter in the axillary sheath for continuous brachial plexus blockade.
    • Administration of anesthesia and analgesia through the indwelling catheter.
    • Monitoring of anesthetic effects, including sympathetic blockade, for up to 7 days post-operation.

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    Main Results:

    • Continuous axillary block effectively provided anesthesia and analgesia for up to 7 days.
    • Sympathetic blockade was achieved, aiding in post-operative recovery.
    • The technique facilitated extensive revascularization or replantation procedures.

    Conclusions:

    • Continuous axillary block is a valuable anesthetic technique for replantation surgery.
    • It offers prolonged anesthesia, analgesia, and sympathetic blockade.
    • This method expands surgical options for patients unsuitable for general anesthesia.