Brachial plexus anaesthesia in children: lateral infraclavicular vs axillary approach

Abstract

We conclude that LVIBP blocks can be safely performed in children and that they add to the spectrum of sensory and motor blockade seen with the axillary approach.

Usefulness of peripheral nerve block as an aneasthetic technique in a critically ill Child– A case report

“…Axillary approach is the commonest, easiest and safest approach in all age groups especially if it is done under the palpation method alone. 1,2,5 The continuous axillary block variant involves inserting a peripheral block catheter in the perineural space for intermittent injections of the local anaesthetic solutions. This improves outcomes after microvascular surgery.…”

“…Our centre does not have the capacity for either. Complications of axillary approach include infection at the puncture site, axillary tenderness, heamatoma, intravascular injection and nerve damage 1,2 . This case report is to enumerate the prospects of blind axillary approach to peripheral brachial nerve block, in a low-resource setting, in a sick child who is not suitable for general anaesthesia.…”

Ultrasound Imaging for Pediatric Anesthesia: A Review

“…The use of ultrasound guidance for this block in children, however, is not well described in the literature; a recent search produced no original reports (Fleischmann et al, 2003). This block may be performed in children using techniques borrowed from adult patients.…”

Paediatric Ultrasound-Guided Regional Anaesthesia: Peripheral Techniques

“…11 In adults poorer ultrasound images are obtained when compared to other brachial plexus approaches. 12 In contrast, in children there is less muscle mass and the plexus is shallower, thus allowing superior imaging.…”