The extent of blockade following various techniques of brachial plexus block.

Abstract:

:The extent of sensory and motor blockades was examined in 195 patients 5 and 20 min after four different techniques of brachial plexus block using 50 ml of 0.5% bupivacaine. The interscalene technique of Winnie (N = 50) resulted in a preferential blockade of the caudad portions of the cervical plexus and the cephalad portions of the brachial plexus. The supraclavicular approach of Kulenkampff (N = 55) and the subclavian perivascular approach of Winnie (N = 56) each resulted in a homogeneous blockade of the nerves of the brachial plexus. The Winnie modification of the axillary approach (N = 34) resulted in a preferential blockade of the caudad nerves of the brachial plexus. With all four techniques, motor blockade developed faster than sensory blockade. The difference in results suggests that the approach to be used should depend primarily upon the site of the operation. The perineural space enclosing the brachial plexus greatly facilitates the spread of a local anesthetic when injected; however, it is usually not filled completely or evenly.

journal_name

Anesth Analg

journal_title

Anesthesia and analgesia

authors

Lanz E,Theiss D,Jankovic D

subject

Has Abstract

pub_date

1983-01-01 00:00:00

pages

55-8

issue

1

eissn

0003-2999

issn

1526-7598

journal_volume

62

pub_type

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