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Related Experiment Videos

Continuous axillary brachial plexus block.

T Sada, T Kobayashi, S Murakami

    Canadian Anaesthetists' Society Journal
    |March 1, 1983
    PubMed
    Summary
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    Continuous axillary brachial plexus block is effective for hand surgery, with 77.2% of patients completing procedures without additional pain medication. This regional anesthesia technique offers a viable option for prolonged operations.

    Area of Science:

    • Anesthesiology
    • Regional Anesthesia
    • Surgical Procedures

    Background:

    • Continuous axillary brachial plexus block is a regional anesthesia technique.
    • This study evaluates its efficacy and safety in patients undergoing prolonged hand surgery.

    Observation:

    • A 5 cm, 23-gauge Teflon IV catheter was placed in the axillary perivascular sheath.
    • Lidocaine or mepivacaine (1.5%) was used for the initial block dose in 597 patients.

    Findings:

    • 77.2% of surgeries were completed with the axillary block alone.
    • 19.1% required supplementary analgesics or additional blocks.
    • 3.7% of cases were considered failures.
    • Complications included local anesthetic toxicity (2.85%), nerve injury (0.50%), and hematoma (0.17%).

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    Implications:

    • Continuous axillary brachial plexus block is a successful technique for prolonged hand surgery.
    • It can reduce the need for general anesthesia and systemic opioids.
    • Awareness of potential complications is crucial for safe application.