Comparison of two different techniques for brachial plexus block: infraclavicular versus axillary technique

Ertuğ, Zeki; Yeğin, Arif; Ertem, S; Şahin, Nursel; Hadimioğlu, Necmiye; Döşemeci, L; Erman, Meliha

doi:10.1111/j.1399-6576.2005.00756.x

Cited by 24 publications

(24 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Axillary approach is easy to perform for brachial plexus block with safety, reliability to provide anesthesia for form arm and hand surgeries. [2,3] But it is difficult in patients with limited movement of shoulder, arm and painful injuries [4] .…”

Section: Introductionmentioning

confidence: 99%

Comparison of Clonidine and Dexmedetomidine as an Adjuvant to 0.375% of Ropivacaine in Supraclavicular Brachial Plexus Block: A Prospective Study

Shekhawat¹

2018

jmscr

View full text Add to dashboard Cite

Section: Introductionmentioning

confidence: 99%

Comparison of Clonidine and Dexmedetomidine as an Adjuvant to 0.375% of Ropivacaine in Supraclavicular Brachial Plexus Block: A Prospective Study

Shekhawat¹

2018

jmscr

View full text Add to dashboard Cite

“…[1] However, its application may be difficult in patients with limited movement of the shoulder or arm, as in those with painful injuries. [2] Also, with the standard single injection axillary block, reliable musculocutaneous nerve (MCN) and radial nerve anaesthesia is limited by anatomical conditions[3] and success rates vary widely.…”

Section: Introductionmentioning

confidence: 99%

“…This technique is also advantageous for catheter based techniques compared to axillary approach. [2]…”

Section: Introductionmentioning

confidence: 99%

A randomized comparative study of efficacy of axillary and infraclavicular approaches for brachial plexus block for upper limb surgery using peripheral nerve stimulator

et al. 2011

View full text Add to dashboard Cite

Brachial plexus block via the axillary approach is problematic in patients with limited arm mobility. In such cases, the infraclavicular approach may be a valuable alternative. The purpose of our study was to compare axillary and infraclavicular techniques for brachial plexus block in patients undergoing forearm and hand surgeries. After obtaining institutional approval and written informed consent, 60 patients of American Society of Anaesthesiologists grade I or II scheduled for forearm and hand surgeries were included in the study and were randomly allocated into two groups. Brachial plexus block was performed via the vertical infraclavicular approach (VIB) in patients of Group I and axillary approach in Group A using a peripheral nerve stimulator. Sensory block in the distribution of individual nerves supplying the arm, motor block, duration of sensory block, incidence of successful block and various complications were recorded. Successful block was achieved in 90% of the patients in group I and in 87% of patients in group A. Intercostobrachial nerve blockade was significantly higher in group I. No statistically significant difference was found in sensory and motor blockade of other nerves. Both the approaches are comparable, but the VIB scores ahead of axillary block in terms of its ability to block more nerves. The VIB because of its easily identifiable landmarks, a comfortable patient position during the block procedure and the ability to block a larger spectrum of nerves should thus be considered as an effective alternative to the axillary approach.

show abstract

“…Different techniques can be used to achieve block on using perivascular approach to brachial plexus. [1,2,3] Bupivacaine, ropivacaine and levobupivacaine are commercially available intermediateacting LAs. They have some differences in risk of cardiovascular and CNS toxicity, but they have similar anesthetic and analgesic potency.…”

Section: Introductionmentioning

confidence: 99%

“…(10) By this aim for upper limb surgery interscalene blocks are ideally suited for shoulder and upper arm surgery, supraclavicular nerve blocks for upper arm, elbow and radial side of forearm and the infraclavicular and axillary block are suited for hand, wrist and forearm surgery. (2) Since then axillary block of the brachial plexus is a suitable anaesthetic technique both for orthopaedic, plastic According to need for supplementary intravenous analgesia, the quality of nerve block will be evaluated as follows  Satisfactory nerve block -No supplemental analgesia required to complete surgery.  Unsatisfactory nerve block -Fentanyl supplementation required to complete surgery.…”

Section: Introductionmentioning

confidence: 99%

Compar Ison Study of Bupivacaine, Levobupivacaine and Ropivacaine in Axillary Brachial Plexus Block: A Clinical Study

Mehrotra¹,

Baghel²,

Gupta³

2015

jemds

View full text Add to dashboard Cite

AIMAim of our study was to assess effect of 0.5% bupivacaine, 0.5% levobupivacaine and 0.5% ropivacaine in axillary brachial plexus block. OBJECTIVETo compare the onset time and duration of sensory and motor blockade of 0.5% bupivacaine, 0.5% levobupivacaine and 0.5% ropivacaine in axillary brachial plexus. MATERIAL AND METHODNinety patients of ASA I and II of age group 20yrs-60yrs of either sex were included in our study undergoing upper limb surgeries in Gandhi Medical College and Hamidia Hospital, Bhopal (MP). The patients were randomly divided into three groups:-Group I (n= 30) : Bupivacaine 0.5%-5mg/ml-30ml, Group II (n= 30) : Levobupivacaine 0.5%-5mg/ml --30ml, Group III (n=30) : Ropivacaine 0.5%-5mg/ml --30ml onset time of sensory and motor block, duration of sensory and motor block and duration of pain relief were recorded. RESULTAnalysis revealed that Ropivacaine provided fast onset of action and better quality of anaesthesia and analgesia than bupivacaine and levobupivacaine when used in axillary brachial plexus blockade. There was no significant difference in duration of sensory blockade between three groups. But Ropivacaine showed lesser duration of motor blockade when compared to bupivacaine and levobupivacaine. CONCLUSIONWe conclude that 0.5% 30ml of ropivacaine in axillary brachial plexus block is a safe dose, allowing practitioner to produce a fast onset of sensory block and long duration of peripheral nerve block with excellent postoperative analgesia and stable hemodynamics. So ropivacaine is a better option for forearm surgeries in axillary brachial plexus block when compared with bupivacaine and levobupivacaine.

show abstract

Comparison of two different techniques for brachial plexus block: infraclavicular versus axillary technique

Abstract: Brachial plexus block performed via the infraclavicular approach is as safe and effective as the axillary approach. Infraclavicular approach may be preferred to the axillary approach when the upper arm mobility is impaired or not desired.

Cited by 24 publications

References 14 publications

Comparison of Clonidine and Dexmedetomidine as an Adjuvant to 0.375% of Ropivacaine in Supraclavicular Brachial Plexus Block: A Prospective Study

Comparison of Clonidine and Dexmedetomidine as an Adjuvant to 0.375% of Ropivacaine in Supraclavicular Brachial Plexus Block: A Prospective Study

A randomized comparative study of efficacy of axillary and infraclavicular approaches for brachial plexus block for upper limb surgery using peripheral nerve stimulator

Compar Ison Study of Bupivacaine, Levobupivacaine and Ropivacaine in Axillary Brachial Plexus Block: A Clinical Study

Contact Info

Product

Resources

About