The axillary neurovascular structures are one of the potential anatomical fields to show variations in many ways. The axillary artery gets divided in three parts by the fore lying pectoralis minor and provides the superior thoracic artery from first part, thoraco-acromial artery, lateral thoracic artery from second part and the third part gives anterior circumflex humeral, posterior circumflex ...

BACKGROUND The purpose of this study was to evaluate the effect of dexamethasone or dexmedetomidine added to ropivacaine on the onset and duration of ultrasound-guided axillary brachial plexus blocks (BPB). METHODS Fifty-one ASA physical status I-II patients with elective forearm and hand surgery under axillary brachial plexus blocks were randomly allocated to receive 20 ml of 0.5% ropivacain...

Different additives have been used to prolong regional blockade. We designed a prospective, randomized, double-blind study to evaluate the effect of dexamethasone added to lidocaine on the onset and duration of axillary brachial plexus block. Sixty patients scheduled for elective hand and forearm surgery under axillary brachial plexus block were randomly allocated to receive either 34 mL lidoca...

PURPOSE To report outcome of axillary nerve neurotisation for brachial plexus injury through the anterior deltopectoral approach. METHODS Nine men aged 20 to 52 (mean, 27.8) years with brachial plexus injury underwent axillary nerve neurotisation through the anterior deltopectoral approach. Three of the patients had complete avulsion of C5-T1 nerve roots. The remaining 6 patients had brachial...

After IRB approval, we retrospectively reviewed the regional anesthesia database of one staff anesthesiologist (ERM) from a university hospital outpatient surgery center collected over one year as part of an ongoing quality assurance (QA) project. Data from patients who received perivascular AXB or coracoid ICB were included. Nerve blocks were performed preoperatively using sterile technique in...

The axillary approach to brachial plexus blockade provides satisfactory anaesthesia for elbow, forearm, and hand surgery and also provides reliable cutaneous anaesthesia of the inner upper arm including the medial cutaneous nerve of arm and intercostobrachial nerve, areas often missed with other approaches. In addition, the axillary approach remains the safest of the four main options, as it do...

We present a case of concurrent rotator cuff tear and axillary nerve palsy resulting from anterior dislocation of the shoulder and a large glenoid rim fracture-a "terrible tetrad." A 61-year-old woman fell on her right shoulder. Radiographs showed anterior dislocation of the shoulder with a glenoid rim fracture, and an MRI two months after injury revealed a rotator cuff tear. Upon referral to o...