Present position: Research Fellow in Pain and Neurophysiology, Cerebral Functions Research Group, University College London and Department of Physiology, St Thomas' Hospital, London. Honorary Registrar in Anaesthetics, St Thomas' Hospital, London.
A comparison of three methods of axillary brachial plexus anaesthesia
Article first published online: 22 FEB 2007
Volume 45, Issue 5, pages 362–365, May 1990
How to Cite
BARANOWSKI, A. P. and PITHER, C. E. (1990), A comparison of three methods of axillary brachial plexus anaesthesia. Anaesthesia, 45: 362–365. doi: 10.1111/j.1365-2044.1990.tb14776.x
- Issue published online: 22 FEB 2007
- Article first published online: 22 FEB 2007
- Accepted 30 October 1989
- Anaesthetic techniques, regional; brachial plexus
One hundred patients scheduled for elective outpatient hand surgery had blockade of the axillary brachial plexus by one of three techniques; insertion of a catheter into the brachial plexus sheath (n = 25), use of paraesthesia (n = 50) or use of the nerve stimulator (n = 25) to localise the plexus. Only two patients required general anaesthesia for the planned surgery. Assessment of the dermatomes blocked did not demonstrate a statistical difference between the success rates of the three groups. The more nerves detected in the paraesthesia and the nerve stimulator groups before injection of local anaesthetic the higher the success rate of the block. We advocate use of the nerve stimulator technique in view of the possible risk of neurological damage associated with paraesthesia and the technical difficulties with the catheter technique, for routine brachial plexus blockade.