Sonographic assessment of arterial frequency and distribution within the brachial plexus: a comparison with the cadaveric record.

Abstract:

:We investigated the number and distribution of arteries within the brachial plexus territory using a portable ultrasound device, and compared these findings with known cadaveric data. We recruited 200 volunteers and carried out 400 brachial plexus examinations in a prospective observational study design. We identified arteries within the brachial plexus in more than 90% of subjects. Most of these were located in the upper and middle zones of the plexus and therefore lie within the possible path of a block needle. These findings correlate well with previous cadaveric studies, suggesting that arteries within the brachial plexus territory can be reliably identified with a portable ultrasound device. The presence of these vessels may impact upon the safety and efficacy of brachial plexus blockade. Routine pre-procedural sonographic assessment may offer improved safety and efficacy. You can respond to this article at http://www.anaesthesiacorrespondence.com.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Nambyiah P,Umbarje K,Amir R,Parikh M,Oosthuysen SA

doi

10.1111/j.1365-2044.2011.06832.x

subject

Has Abstract

pub_date

2011-10-01 00:00:00

pages

931-5

issue

10

eissn

0003-2409

issn

1365-2044

journal_volume

66

pub_type

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