Ultrasonographic guided axillary plexus blocks with low volumes of local anaesthetics: a crossover volunteer study.

Abstract:

:Our study group recently evaluated an ED(95) local anaesthetic volume of 0.11 ml.mm(-2) cross-sectional nerve area for the ulnar nerve. This prospective, randomised, double-blind crossover study investigated whether this volume is sufficient for brachial plexus blocks at the axillary level. Ten volunteers received an ultrasonographic guided axillary brachial plexus block either with 0.11 ('low' volume) or 0.4 ('high' volume) ml.mm(-2) cross-sectional nerve area with mepivacaine 1%. The mean (SD) volume was in the low volume group 4.0 (1.0) and 14.8 (3.8) ml in the high volume group. The success rate for the individual nerve blocks was 27 out of 30 in the low volume group (90%) and 30 out of 30 in the high volume group (100%), resulting in 8 out of 10 (80%) vs 10 out of 10 (100%) complete blocks in the low vs the high volume groups, respectively (NS). The mean (SD) sensory onset time was 25.0 (14.8) min in the low volume group and 15.8 (6.8) min in the high volume group (p < 0.01). The mean (SD) duration of sensory block was 125 (38) min in the low volume group and 152 (70) min in the high volume group (NS). This study confirms our previous published ED(95) volume for mepivacaine 1% to block peripheral nerves. The volume of local anaesthetic has some influence on the sensory onset time.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Marhofer P,Eichenberger U,Stöckli S,Huber G,Kapral S,Curatolo M,Kettner S

doi

10.1111/j.1365-2044.2010.06247.x

subject

Has Abstract

pub_date

2010-03-01 00:00:00

pages

266-71

issue

3

eissn

0003-2409

issn

1365-2044

pii

ANA6247

journal_volume

65

pub_type

杂志文章,随机对照试验
  • Intra-ocular pressure changes in patients with glaucoma. Comparison between the laryngeal mask airway and tracheal tube.

    abstract::We performed a randomised prospective study in 20 patients with glaucoma to examine the effects of tracheal intubation and laryngeal mask insertion on intra-ocular pressure, mean arterial blood pressure and heart rate. After induction of anaesthesia with propofol, intra-ocular pressure decreased significantly below ba...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1994.tb03378.x

    authors: Barclay K,Wall T,Wareham K,Asai T

    更新日期:1994-02-01 00:00:00

  • Effect of intravenous cimetidine on lignocaine disposition during extradural caesarean section.

    abstract::We studied whether an intravenous bolus of cimetidine altered the disposition of extradurally administered lignocaine in the parturient. Mothers who requested extradural analgesia for elective Caesarean section were randomly pretreated with either cimetidine 200 mg intravenously (n = 5) or no H2-receptor antagonist (n...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1989.tb09259.x

    authors: Flynn RJ,Moore J,Collier PS,Howard PJ

    更新日期:1989-09-01 00:00:00

  • A survey of physicians' attitudes to transfusion practice in critically ill patients in the UK.

    abstract::This study aimed to examine the attitudes of intensivists and haematologists to the use of blood and blood products using a scenario-based postal questionnaire. One hundred and sixty-two intensivists and 77 haematologists responded to the survey. In four scenarios, the baseline haemoglobin thresholds for red cell tran...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1046/j.1365-2044.2002.02509_1.x

    authors: Boraless H,Rao MP,Morgan C,Soni N,Goldhill DR,Brett SJ,Boralessi H,Contreras M

    更新日期:2002-06-01 00:00:00

  • Detection of inner tube defects in co-axial circle and Bain breathing systems: a comparison of occlusion and Pethick tests.

    abstract::The performance of the occlusion and Pethick tests in detecting faulty inner tubes in co-axial circle and Bain systems was compared. Twelve co-axial circle and 12 Bain anaesthetic breathing systems were tested using the occlusion and the Pethick tests. For each system, three tubes were intact, and the remaining nine h...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2008.05568.x

    authors: Szypula KA,Ip JK,Bogod D,Yentis SM

    更新日期:2008-10-01 00:00:00

  • A comparison of thiopentone and propofol with respect to the incidence of postoperative shivering.

    abstract::One hundred patients (69 female) undergoing surgical excision of three or more wisdom teeth were randomly allocated to receive either thiopentone or propofol for induction of anaesthesia. Other than the induction agent, the anaesthetic regimen was standardised for all cases. All patients were observed for 15 min after...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1994.tb04322.x

    authors: Singh P,Harwood R,Cartwright DP,Crossley AW

    更新日期:1994-11-01 00:00:00

  • Peri-operative anaesthetic management of cytoreductive surgery with hyperthermic intraperitoneal chemotherapy.

    abstract::Cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (HIPEC) is a long and complex procedure with significant blood and fluid loss during debulking and important pathophysiological alterations during the HIPEC phase. We performed a retrospective analysis of 78 consecutive patients undergoing cytoreduct...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2007.05380.x

    authors: Schmidt C,Creutzenberg M,Piso P,Hobbhahn J,Bucher M

    更新日期:2008-04-01 00:00:00

  • An intra-operative comparison of lumbar with thoracic epidural sufentanil for thoracotomy.

    abstract::The efficacy of thoracic epidural sufentanil 50 micrograms was compared with lumbar epidural sufentanil 50 micrograms in 30 patients (n = 15 in each group) undergoing lateral thoracotomy. Sufentanil was administered epidurally after induction of anaesthesia with sufentanil 1 microgram.kg-1 and thiopentone 2-5 mg.kg-1 ...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1994.tb03366.x

    authors: Haak-van der Lely F,van Kleef JW,Burm AG,Bovill JG

    更新日期:1994-02-01 00:00:00

  • Automatic ventilation with the Ayre's T-piece. A modification of the Nuffield Series 200 ventilator for neonatal and paediatric use.

    abstract::A simple modification to an existing adult ventilator has been designed to permit mechanical ventilation of neonates and small children with the Ayre's T-piece circuit. The Nuffield Anaesthesia Ventilator Series 200 has been modified by replacing the piston in the patient valve with a fixed leak. This arrangement avoi...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1981.tb08595.x

    authors: Newton NI,Hillman KM,Varley JG

    更新日期:1981-01-01 00:00:00

  • Respiratory disturbance during recovery from etomidate anaesthesia.

    abstract::A case is described in which recovery from the administration of a single dose of etomidate was complicated by periodic episodes of unconsciousness, tremor and apnoea. Subsequent investigations did not reveal any evidence of neurological disease. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1988.tb05415.x

    authors: Parker CJ

    更新日期:1988-01-01 00:00:00

  • Extending a pipecuronium neuromuscular block. Increments of atracurium or vecuronium as an alternative to pipecuronium.

    abstract::Ten patients received increasing doses of pipecuronium at induction of anaesthesia. A dose response relationship was then constructed from which ED90 and ED95 values were measured as 43.4 micrograms.kg-1 and 50.5 micrograms.kg-1 respectively. A further 30 patients received pipecuronium in a dose sufficient to produce ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1993.tb06899.x

    authors: Roberts SP,Ramsay TM,Healy TE,Wilson A,Pollard BJ

    更新日期:1993-03-01 00:00:00

  • A comparison of the Soft Seal disposable and the Classic re-usable laryngeal mask airway.

    abstract::Many new supraglottic airway devices have been recently introduced, their development motivated by the need for a single-use equivalent to the original re-usable laryngeal mask airway. We performed a randomised cross-over study in spontaneously breathing patients comparing the re-usable Laryngeal Mask Airway-Classic (...

    journal_title:Anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.2005.04461.x

    authors: Shafik MT,Bahlman BU,Hall JE,Ali MS

    更新日期:2006-02-01 00:00:00

  • The absence of teratogenic effects of some analgesics used in anaesthesia. Additional evidence from a mouse model.

    abstract::The possibility exists that agents used in anaesthesia may have adverse teratogenic effects on staff, patients, and developing fetuses. It has been shown that a range of neurotropic drugs, when injected into pregnant mice on the 9th day of gestation, produce a characteristic group of central nervous system malformatio...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1992.tb02267.x

    authors: Martin LV,Jurand A

    更新日期:1992-06-01 00:00:00

  • Measurement of tidal flow using a transit-time ultrasonic breath analyser.

    abstract::The ability of the Transit-time Ultrasonic Breath Analyser (TUBA, GHG Medical Electronics GMBH, Zürich, Switzerland) to measure peak flow and tidal volume in the laboratory was tested using a variety of flow and pressure conditions, chosen to simulate the respiratory patterns of patients receiving mechanical ventilato...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1995.tb05999.x

    authors: Williams EM,Burrough SL,McPeak H

    更新日期:1995-05-01 00:00:00

  • Platelet mapping as part of modified thromboelastography (TEG®) in patients undergoing cardiac surgery and cardiopulmonary bypass.

    abstract::The platelet-mapping assay of the thromboelastograph was used to measure platelet aggregation and to examine the effect of cardiopulmonary bypass on multiple platelet receptors and the role of altered receptor activity in postoperative bleeding. The percentage platelet aggregation for collagen, adenosine diphosphate a...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1365-2044.2012.07231.x

    authors: Weitzel NS,Weitzel LB,Epperson LE,Karimpour-Ford A,Tran ZV,Seres T

    更新日期:2012-10-01 00:00:00

  • Cor pulmonale and the Pierre Robin anomaly. Airway management with a nasopharyngeal tube.

    abstract::An infant with Pierre Robin anomaly was anaesthetised for cardiac catheterisation. There was cor pulmonale with the pulmonary artery pressure at systemic level, a patent foramen ovale and a persistent ductus arteriosus. The effects of alterations in blood gases on the haemodynamics and intracardiac shunts are consider...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1980.tb05097.x

    authors: Freeman MK,Manners JM

    更新日期:1980-03-01 00:00:00

  • Histamine release by morphine and diamorphine in man.

    abstract::Intravenous morphine and diamorphine are routinely used for postoperative analgesia but the relative histamine releasing abilities of these drugs have not been compared in man. Thirty-eight patients were randomly allocated to receive morphine (0.16 mg.kg-1) or diamorphine (0.08 mg.kg-1) after abdominal surgery. Blood ...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1993.tb06785.x

    authors: Withington DE,Patrick JA,Reynolds F

    更新日期:1993-01-01 00:00:00

  • Safe pre-operative fasting times after milk or clear fluid in children. A preliminary study using real-time ultrasound.

    abstract::Gastric emptying of orange-flavoured glucose (group I), low-fat milk (group II) and breast milk (group III) was evaluated in 45 ASA grade I children of < or = 5 years of age by using real-time ultrasonography and residual gastric volume and pH was then measured. In 15 more children, residual gastric volume and pH was ...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1365-2044.1999.00660.x

    authors: Sethi AK,Chatterji C,Bhargava SK,Narang P,Tyagi A

    更新日期:1999-01-01 00:00:00

  • Administration of drugs during cardiopulmonary bypass. An analysis of the fate of a bolus injected through different routes using radio-active technetium.

    abstract::This study was conducted to determine the efficiency of delivery of drugs injected as boluses by the common routes available during cardiopulmonary bypass. Radioactive technetium (99mTc) was injected in a 50 microCi bolus into the central venous line or into the arterial or venous lines of the oxygenator and its passa...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1980.tb03952.x

    authors: Kamath BS,Thomson DM,Johnston B

    更新日期:1980-09-01 00:00:00

  • The cardiovascular response to insertion of the intubating laryngeal mask airway.

    abstract::Sixty-one patients received a standardised anaesthetic and were randomly assigned to three groups: tracheal intubation via direct laryngoscopy, tracheal intubation via an intubating laryngeal mask airway with immediate removal of the device, and tracheal intubation via an intubating laryngeal mask airway with delayed ...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1365-2044.2002.02463.x

    authors: Choyce A,Avidan MS,Harvey A,Patel C,Timberlake C,Sarang K,Tilbrook L

    更新日期:2002-04-01 00:00:00

  • Effects of the European Working Time Directive on anaesthetic training in the United Kingdom.

    abstract::Decreases in the hours worked by trainee anaesthetists are being brought about by both the New Deal for Trainees and the European Working Time Directive. Anticipated improvements in health and safety achieved by a decrease in hours will be at the expense of training time if the amount of night-time work remains consta...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2004.03808.x

    authors: Sim DJ,Wrigley SR,Harris S

    更新日期:2004-08-01 00:00:00

  • The first anaesthetic in Central Africa.

    abstract::The Reverend Doctor Robert Laws (1851-1934) followed in the footsteps of David Livingstone to Central Africa. At the beginning of a long and distinguished career as a medical missionary in Christian service to the country that has since become the Republic of Malawi, he was a prime mover in the setting up of a mission...

    journal_title:Anaesthesia

    pub_type: 传,历史文章,杂志文章

    doi:10.1111/j.1365-2044.1985.tb10611.x

    authors: Conacher ID

    更新日期:1985-11-01 00:00:00

  • The potencies of edrophonium and neostigmine as antagonists of pancuronium.

    abstract::Dose response curves were constructed for edrophonium and neostigmine when used to antagonise pancuronium, 0.07 mg/kg during thiopentone-nitrous oxide-halothane anaesthesia. The antagonist was given when 10% twitch height had been restored and the effect was measured 10 minutes later. Recoveries to 50% and 90% twitch ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1985.tb11044.x

    authors: Breen PJ,Doherty WG,Donati F,Bevan DR

    更新日期:1985-09-01 00:00:00

  • Effect of orientation of a standard polyvinyl chloride tracheal tube on success rates during awake flexible fibreoptic intubation.

    abstract::We conducted a randomised study in 70 patients to assess the effect of orientation of a standard polyvinyl chloride tracheal tube on the ease of railroading the tube during awake fiberoptic orotracheal intubation. Conventional orientation of the tube (with the bevel of the tube directed to the patient's left) was comp...

    journal_title:Anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.2006.04750.x

    authors: Sharma D,Bithal PK,Rath GP,Pandia MP

    更新日期:2006-09-01 00:00:00

  • SHO training in anaesthetics. How good is it?

    abstract::All senior house officer posts in the Yorkshire Deanery have been assessed against five parameters. Posts in anaesthesia were among the best with excellent consultant support, good exposure to clinical practice and well-structured education and training. Anaesthetic posts were almost unique in satisfying the 'New Deal...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1998.00245.x

    authors: Bunch GA,Bahrami J,Macdonald R

    更新日期:1998-01-01 00:00:00

  • Amniotic fluid embolism.

    abstract::The statement that amniotic fluid embolism is the most dangerous and untreatable condition in obstetrics appears to be true. It must be suspected in any patient who collapses or bleeds excessively during labour or the immediate post-partum period. Attempts should be made to secure a definitive diagnosis in life by exa...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2044.1979.tb04862.x

    authors: Morgan M

    更新日期:1979-01-01 00:00:00

  • Echocardiographic assessment of the haemodynamic effects of propofol: a comparison with etomidate and thiopentone.

    abstract::The haemodynamic effects of propofol (2 mg/kg), etomidate (0.2 mg/kg) and thiopentone (4 mg/kg) were studied in 30 ASA 1 and 2 patients in whom anaesthesia had been induced with midazolam 0.1 mg/kg, fentanyl 5 micrograms/kg, vecuronium 0.1 mg/kg and atropine 10 micrograms/kg, and maintained with nitrous oxide in oxyge...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1991.tb09349.x

    authors: Gauss A,Heinrich H,Wilder-Smith OH

    更新日期:1991-02-01 00:00:00

  • Comparison of midazolam and flunitrazepam for night sedation. A randomised double-blind study.

    abstract::In a double-blind randomized study midazolam 15 mg and flunitrazepam 2 mg caused a significantly better night's sleep than placebo. Midazolam had a moderate sedative effect the following morning but, in other respects studied, no residual effects were found. In contrast, flunitrazepam decreased both the degree of appr...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1982.tb01854.x

    authors: Sjövall S,Kanto J,Kangas L,Pakkanen A

    更新日期:1982-09-01 00:00:00

  • Validation of a point-of-care prothrombin time test after cardiopulmonary bypass in cardiac surgery.

    abstract::Point-of-care coagulation monitoring can be used for the guidance of haemostasis management. However, the influence of time on point-of-care prothrombin time testing following protamine administration after cardiopulmonary bypass has not been investigated. Bland-Altman and error grid analysis were used to analyse the ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.13591

    authors: Meesters MI,Kuiper G,Vonk AB,Loer SA,Boer C

    更新日期:2016-10-01 00:00:00

  • Application of MVBC equation to predict mixed venous blood concentrations of sevoflurane in cardiac anaesthesia.

    abstract::We have proposed an equation for estimating the real-time mixed venous blood concentration (MVBC) of isoflurane in cardiac anaesthesia. However, information related to the application of our method to sevoflurane is lacking. We studied 12 patients undergoing cardiac surgery and anaesthetised with sevoflurane. At diffe...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2005.04280.x

    authors: Ho WM,Hung WT,Wu CC,Shen CH,Yang NC,Hwang KL,Wong KC

    更新日期:2005-09-01 00:00:00

  • Aspiration pneumonia and the laryngeal mask airway.

    abstract::A case of aspiration pneumonia is reported after the use of a laryngeal mask airway in a young woman undergoing an elective cholecystectomy. The case illustrates the hazards of regurgitation with the laryngeal mask airway and the need for further evaluation when used with controlled mechanical ventilation. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1990.tb14882.x

    authors: Griffin RM,Hatcher IS

    更新日期:1990-12-01 00:00:00