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Axillary Brachial Plexus Block

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Abstract

One of the purposes of this monographic study was to commemorate, at a distance of about a century, the first brachial plexus blocks, namely Kulenkampff’s supraclavicular block and Hirschel’s axillary block.

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Bibliography

  • Baranowski AP, Pither CE (1990) A comparison of three methods of axillary brachial plexus anesthesia. Anesthesia 45(5):362–365

    Article  CAS  Google Scholar 

  • Bloc S, Mercadal L, Garnier T, Komly B, Leclerc P, Morel B, Ecoffey C, Dhonneur G (2010) Comfort of the patient during axillary blocks placement: a randomized comparison of the neurostimulation and the ultrasound guidance techniques. Eur J Anaesthesiol 27(7):628–633

    Article  PubMed  Google Scholar 

  • Bouaziz H, Narchi P, Mercier FJ, Labaille T, Zerrouk N, Girod J, Benhamou D (1997) Comparison between conventional axillary block and a new approach at the midhumeral level. Anesth Analg 84(5):1058–1062

    PubMed  CAS  Google Scholar 

  • Carre P, Joly A, Cluzel Field B, Wodey E, Lucas MM, Ecoffey C (2000) Axillary block in children: single or multiple injection? Paediatr Anaesth 10(1):35–39

    Google Scholar 

  • Chan VW, Perlas A, McCartney CJ, Brull R, Xu D, Abbas S (2007) Ultrasound guidance improves success rate of axillary brachial plexus block. Can J Anaesth 54(3):176–182

    Article  PubMed  Google Scholar 

  • Chin KJ, Handoll HH (2011) Single, double or multiple-injection techniques for axillary brachial plexus block for hand, wrist or forearm surgery in adults. Cochrane Database Syst Rev 7:CD003842

    Google Scholar 

  • Chin KJ, Singh M, Velayutham V, Chee V (2010) Infraclavicular brachial plexus block for regional anesthesia of the lower arm. Cochrane Database Syst Rev 2:CD005487

    Google Scholar 

  • De Tran QH, Clemente A, Doan J, Finlayson RJ (2007) Brachial plexus blocks: a review of approaches and techniques. Can J Anaesth 54(8):662–674

    Article  PubMed  Google Scholar 

  • Deleuze A, Gentili ME, Marret E, Lamonerie L, Bonnet F (2003) A comparison of a single-stimulation lateral infraclavicular plexus block with a triple-stimulation axillary block. Reg Anesth Pain Med 28(2):89–94

    PubMed  Google Scholar 

  • Fleck JW, Moorthy SS, Daniel J, Dierdorf SF (1994) Brachial plexus block. A comparison of the supraclavicular lateral paravascular and axillary approaches. Reg Anesth 19(1):14–17

    PubMed  CAS  Google Scholar 

  • Fuzier R, Fourcade O, Fuzier V, Arnold S, Torrie J, Olivier M (2006) The feasibility and efficacy of short axillary catheters for emergency upper limb surgery: a descriptive series of 120 cases. Anesth Analg 102(2):610–614

    Article  PubMed  Google Scholar 

  • Goldberg ME, Gregg C, Larijani GE, Norris MC, Marr AT, Seltzer JL (1987) A comparison of three methods of axillary approach to brachial plexus blockade for upper extremity surgery. Anesthesiology 66(6):814–816

    Article  PubMed  CAS  Google Scholar 

  • Hickey R, Hoffman J, Tingle LJ, Rogers JN, Ramamurthy S (1993) Comparison of the clinical efficacy of three perivascular techniques for axillary brachial plexus block. Reg Anesth 18(6):335–338

    PubMed  CAS  Google Scholar 

  • Hill DA, Campbell WI (1992) Two approaches to the axillary brachial plexus. Loss of resistance to saline or paraesthesia? Anesthesia 47(3):207–209

    Article  CAS  Google Scholar 

  • Jones TS (1997) Comparison of axillary block techniques: is there a difference in success rates? AANA J 65(3):257–259

    PubMed  CAS  Google Scholar 

  • Kapral S, Krafft P, Eibenberger K, Fitzgerald R, Gosch M, Weinstabl C (1994) Ultrasound-guided supraclavicular approach for regional anesthesia of the brachial plexus. Anesth Analg 78(3):507–513

    Article  PubMed  CAS  Google Scholar 

  • Koschielniak-Nielsen ZJ, Christensen LQ, Pedersen HL, Brusho J (1995) Effect of digital pressure on the neurovascular sheath during perivascular axillary block. Br J Anaesth 75(6):702–706

    Article  PubMed  CAS  Google Scholar 

  • Koscielniak-Nielsen ZJ, Hesselbjerg L, Fejlberg V (1998) Comparison of transarterial and multiple nerve stimulation techniques for an initial axillary block by 45 mL of mepivacaine 1 % with adrenaline. Acta Anaesthesiol Scand 42(5):570–575

    Article  PubMed  CAS  Google Scholar 

  • Koscielniak-Nielsen ZJ, Nielsen PR, Nielsen SL, Gardi T, Hermann C (1999) Comparison of transarterial and multiple nerve stimulation techniques for axillary block using a high dose of mepivacaine with adrenaline. Acta Anaesthesiol Scand 43(4):398–404

    Article  PubMed  CAS  Google Scholar 

  • Koscielniak-Nielsen ZJ, Rasmussen H, Hesselbjerg L, Nielsen TP, Gurkan Y (2005) Infraclavicular block causes less discomfort than axillary block in ambulatory patients. Acta Anaesthesiol Scand 49(7):1030–1034

    Article  PubMed  CAS  Google Scholar 

  • Koscielniak-Nielsen ZJ, Rasmussen H, Nielsen PT (2004) Patients’ perception of pain during axillary and humeral blocks using multiple nerve stimulations. Reg Anesth Pain Med 29(4):328–332

    Article  PubMed  Google Scholar 

  • March X, Pardina B, Torres-Bahi S, Navarro M, del Mar Garcia M, Villalonga A (2003) A comparison of a triple-injection axillary brachial plexus block with the humeral approach. Reg Anesth Pain Med 28(6):504–508

    Google Scholar 

  • Morros C, Perez-Cuenca MD, Sala-Blanch X, Cedo F (2011) Ultrasound-guided axillary brachial plexus block: learning curve and results. Rev Esp Anestesiol Reanim 58(2):74–79

    Article  PubMed  CAS  Google Scholar 

  • Pere P, Pitkanen M, Tuominen M, Edgren J, Rosenberg PH (1993) Clinical and radiological comparison of perivascular and transarterial techniques of axillary brachial plexus block. Br J Anaesth 70(3):276–279

    Article  PubMed  CAS  Google Scholar 

  • Rodriguez J, Barcena M, Alvarez J (1996) Axillary brachial plexus anesthesia: electrical versus cold saline stimulation. Anesth Analg 83(4):752–754

    PubMed  CAS  Google Scholar 

  • Rodriguez J, Carceller J, Barcena M, Pedraza I, Calvo B, Alvarez J (1995) Cold saline is more effective than room temperature saline in inducing paresthesia during axillary block. Anesth Analg 81(2):329–331

    PubMed  CAS  Google Scholar 

  • Rodriguez J, Taboada M, Del Rio S, Barcena M, Alvarez J (2005) A comparison of four stimulation patterns in axillary block. Reg Anesth Pain Med 30(4):324–328

    PubMed  Google Scholar 

  • Rodriguez J, Taboada M, Valino C, Barcena M, Alvarez J (2006) A comparison of stimulation patterns in axillary block: part 2. Reg Anesth Pain Med 31(3):202–205

    PubMed  Google Scholar 

  • Rucci FS, Boccaccini A, Doni L, Pippa P (1995) The orthogonal two-needle technique: a new axillary approach to the brachial plexus. Eur J Anaesthesiol 12(4):333–339

    PubMed  CAS  Google Scholar 

  • Rucci FS, Pippa P, Boccaccini A, Barbagli R (1995) Effect of injection speed on anesthetic spread during axillary block using the orthogonal two-needle technique. Eur J Anaesthesiol 12(5):505–511

    PubMed  CAS  Google Scholar 

  • Schwemmer U, Schleppers A, Markus C, Kredel M, Kirschner S, Roewer N (2006) Operative management in axillary brachial plexus blocks: comparison of ultrasound and nerve stimulation. anesthetist 55(4):451–456

    Article  CAS  Google Scholar 

  • Sheppard DG, Iyer RB, Fenstermacher MJ (1998) Brachial plexus: demonstration at US. Radiology 208(2):402–406

    PubMed  CAS  Google Scholar 

  • Sia S, Bartoli M, Lepri A, Marchini O, Ponsecchi P (2000) Multiple-injection axillary brachial plexus block: a comparison of two methods of nerve localization-nerve stimulation versus paresthesia. Anesth Analg 91(3):647–651

    Article  PubMed  CAS  Google Scholar 

  • Sia S, Bartoli M (2001) Selective ulnar nerve localization is not essential for axillary brachial plexus block using a multiple nerve stimulation technique. Reg Anesth Pain Med 26(1):12–16

    PubMed  CAS  Google Scholar 

  • Sia S, Lepri A, Campolo MC, Fiaschi R (2002) Four-injection brachial plexus block using peripheral nerve stimulator: a comparison between axillary and humeral approaches. Anesth Analg 95(4):1075–1079

    PubMed  Google Scholar 

  • Sia S, Lepri A, Magherini M, Doni L, Di Marco P, Gritti G (2005) A comparison of proximal and distal radial nerve motor responses in axillary block using triple stimulation. Reg Anesth Pain Med 30(5):458–463

    PubMed  Google Scholar 

  • Sia S (2006) A comparison of injection at the ulnar and the radial nerve in axillary block using triple stimulation. Reg Anesth Pain Med 31(6):514–518

    PubMed  Google Scholar 

  • Sites BD, Beach ML, Spence BC, Wiley CW, Shiffrin J, Hartman GS, Gallagher JD (2006) Ultrasound guidance improves the success rate of a perivascular axillary plexus block. Acta Anaesthesiol Scand 50(6):678–684

    Article  PubMed  CAS  Google Scholar 

  • Soeding PE, Sha S, Royse CE, Marks P, Hoy G, Royse AG (2005) A randomized trial of ultrasound-guided brachial plexus anesthesia in upper limb surgery. Anaesth Intensive Care 33(6):719–725

    PubMed  CAS  Google Scholar 

  • Tedore TR, YaDeau JT, Maalouf DB, Weiland AJ, Tong-Ngork S, Wukovits B, Paroli L, Urban MK, Zayas VM, Wu A et al (2009) Comparison of the transarterial axillary block and the ultrasound-guided infraclavicular block for upper extremity surgery: a prospective randomized trial. Reg Anesth Pain Med 34(4):361–365

    Article  PubMed  Google Scholar 

  • de Tran QH, Clemente A, Tran DQ, Finlayson RJ (2008) A comparison between ultrasound-guided infraclavicular block using the “double bubble” sign and neurostimulation-guided axillary block. Anesth Analg 107(3):1075–1078

    Article  PubMed  Google Scholar 

  • de Tran QH, Munoz L, Zaouter C, Russo G, Finlayson RJ (2009) A prospective, randomized comparison between single- and double-injection, ultrasound-guided supraclavicular brachial plexus block. Reg Anesth Pain Med 34(5):420–424

    Article  Google Scholar 

  • Tuominen MK, Pitkanen MT, Numminen MK, Rosenberg PH (1987) Quality of axillary brachial plexus block. Comparison of success rate using perivascular and nerve stimulator techniques. Anesthesia 42(1):20–22

    Article  CAS  Google Scholar 

  • Turkan H, Baykal B, Ozisik T (2002) Axillary brachial plexus blockade: an evaluation of three techniques. Mil Med 167(9):723–725

    PubMed  Google Scholar 

  • Youssef MS, Desgrand DA (1988) Comparison of two methods of axillary brachial plexus anesthesia. Br J Anaesth 60(7):841–844

    Article  PubMed  CAS  Google Scholar 

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Correspondence to M. Bosco .

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Bosco, M., Clemente, A. (2014). Axillary Brachial Plexus Block. In: Alemanno, F., Bosco, M., Barbati, A. (eds) Anesthesia of the Upper Limb. Springer, Milano. https://doi.org/10.1007/978-88-470-5418-9_10

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  • DOI: https://doi.org/10.1007/978-88-470-5418-9_10

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  • Publisher Name: Springer, Milano

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  • Online ISBN: 978-88-470-5418-9

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