A rare case of pediatric brachial plexus laceration is presented. A five-year-old boy who sustained a sharp laceration on his right axillary region was immediately operated. The axillary artery, radial, ulnar and musculocutaneous nerve branches of the brachial plexus, and the lateral root of the median nerve were totally lacerated. The medial root of the median nerve was partially transected. A...

We have assessed the final strength of the deltoid in 121 patients who had repair of isolated or combined lesions of the axillary (circumflex) nerve and were available for statistical analysis. Successful or useful results were achieved in 85% after grafting of isolated lesions. The strength was statistically better when patients had grafting of the axillary nerve within 5.3 months from the tim...

BACKGROUND The influence of the muscular response elicited by neurostimulation on the success rate of interscalene block using a catheter (ISC) is unknown. In this investigation, we compared the success rate of ISC placement as indicated by biceps or deltoid, triceps, or both twitches. METHODS Three hundred (ASA I-II) patients presenting for elective arthroscopic rotator cuff repair were pros...

Background The clinical utility of adjuvants with local anesthesia produces an excellent nerve block prolonged duration and faster onset. Brachial plexus is widely used nowadays in patients undergoing upper limb surgery There are several approaches to achieve brachial such as interscalene, supraclavicular, infraclavicular, axillary. objective this study compare the effectiveness dexamethasone d...

A case of simultaneous trigeminal and vagoglossopharyngeal neuralgia is described. No microvascular compression was seen at the trigeminal complex while the origin of vagoglossopharyngeal pain could have been due either to Chiari malformation or microvascular compression of the IX-X nerve complex. Decompressive surgery was ineffective. The patient could completely block his facial painful fits ...

Objective. This report describes a case in which the off-label use of liposomal bupivacaine (Exparel) in a peripheral nerve block resulted in marked improvement of a patient's vasoocclusive symptoms. The vasodilating and analgesic properties of liposomal bupivacaine in patients with ischemic symptoms are unknown, but our clinical experience suggests a role in the management of patients sufferin...

Background: Both the axillary brachial block and elbow are easy to learn perform. Elbow was previously used as a rescue supplement inadequacy of proximal nerve plexus block. Recently, is emerging primary anesthetic technique for wrist hand surgeries. However, no such study in Indian scenario exists comparing using ultrasound (US) guidance during Aims Objectives: The present designed compare sur...