Back ground: Absence of abduction or presence of restricted abduction movement of shoulder or presence of infection or space occupying mass in axilla creates difficulties or offers impossibilities to expose axilla for brachial plexus block at the same level. Aims: To introduce axillary block in the presence of axillary infection, mass and restricted movement of the shoulder through anterior fol...

Background. For hand surgery, brachial plexus blocks provide effective anesthesia but produce undesirable numbness. We hypothesized that distal peripheral nerve blocks will better preserve motor function while providing effective anesthesia. Methods. Adult subjects who were scheduled for elective ambulatory hand surgery under regional anesthesia and sedation were recruited and randomly assigned...

Successful brachial plexus block requires a thorough knowledge of anatomy, both to decide on the appropriate approach and to locate the nerves. The plexus is traditionally found at specific anatomical points by using bony or vascular landmarks, whereas ultrasound allows block of the plexus at any point along its length. The course of the brachial plexus and its relationship to nearby structures...

Background: The supraclavicular approach to brachialplexus block (SCB) is indicated for operations of upper extremity distal the shoulder; infraclavicular (ICB) arm, elbow, wrist, and hand. Objective study was compare brachial plexus with in limb surgeries using peripheral nerve stimulator.Methods: This prospective conducted among 78 patients, 39 each group block, posted various on elective or ...

BACKGROUND Although an ultrasound-guided brachial plexus block has become the standard, conventional brachial plexus blocks with a paresthesia or muscle twitch are still performed. However despite eliciting a paresthesia or muscle twitch, there are some cases in whom the brachial plexus block fails. This has been attributed to the difference between the proximal response (PR) and distal respons...

BACKGROUND Plethysmographic measurement of haemoglobin concentration ([Formula: see text]), pleth variability index (PVI), and perfusion index (PI) with the Radical-7 apparatus is growing in popularity. Previous studies have indicated that [Formula: see text] has poor precision, particularly when PI is low. We wanted to study the effects of a sympathetic block on these measurements. METHODS T...

BACKGROUND On a pharmacologic basis, levobupivacaine is expected to last longer than ropivacaine. However, most reports of these anesthetics for brachial plexus block do not suggest a difference in analgesic effect. The aim of this study is to compare the postoperative analgesic effects of levobupivacaine and ropivacaine when used for treating ultrasound-guided brachial plexus block. METHODS ...

The causes of brachial plexus palsy in neonates should be classified according to their most salient associated feature. The causes of brachial plexus palsy are obstetrical brachial plexus palsy, familial congenital brachial plexus palsy, maternal uterine malformation, congenital varicella syndrome, osteomyelitis involving the proximal head of the humerus or cervical vertebral bodies, exostosis...