Efficacy of axillary versus infraclavicular brachial plexus block in preventing tourniquet pain

Does local anesthetic temperature affect the onset and duration of ultrasound-guided infraclavicular brachial plexus nerve block?: a randomized clinical trial

“…Infraclavicular brachial plexus nerve block is commonly used to facilitate upper extremity surgeries. 1 This technique was proposed to have several advantages over general anesthesia including providing a longer postoperative pain relief and decreased opioid consumption, a lower complication rate, and being more cost efficient. 2 The disadvantage of single shot blocks is that the duration of the block is highly dependent on the local anesthetic agent.…”

Peripheral Nerve Injury After Upper-Extremity Surgery Performed Under Regional Anesthesia: A Systematic Review

“…A total of 53 articles were included in this systematic review: 38 hand studies and 15 shoulder studies ( Table S1 , available on the Journal’ s website at www.jhsgo.org ). 18 , 19 , 20 , 21 , 23 , 24 , 25 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 These 53 articles comprised 73 discrete, surgery-block combination study groups (54 hand and 19 shoulder groups) and 6,579 total subjects (2,875 hand and 3,704 shoulder subjects; Table 1 ). The large majority of studies in both groups were RCTs (94.4% hand and 78.9% shoulder RCTs); most were single-blind.…”

Minimum effective volume of 0.2% ropivacaine for ultrasound-guided axillary brachial plexus block in preschool-age children

“…In clinical practice, an important goal of musculocutaneous nerve block is to mitigate the reaction to tourniquet application. A previous study showed that the tourniquet pain onset time in patients undergoing ABPB was 73.0 (14.8) minutes 16 . The tourniquet undoubtedly produced some undesirable irritation, but this could be eliminated in a short period of time by continuous pumping of propofol without a tourniquet reaction.…”