Effect of injection speed on anaesthetic spread during axillary block using the orthogonal two-needle technique.

Abstract:

:One hundred patients undergoing scheduled upper limb orthopaedic surgery were studied to determine if the speed of injection of the local anaesthetic solution could modify the extent and depth of anaesthesia with the axillary approach to the brachial plexus. The blocks were performed using the 'orthogonal two-needle technique' in which two needles are positioned on the upper and on the lower aspect of the axillary artery, orthogonal to the neurovascular bundle and directed towards the fascial compartment containing the radial nerve. The patients were randomly assigned to one of three groups to receive one of three injection rates (10, 20 and 30 s) (n = 30). In consequence to the results obtained in these patients, a further group of 10 patients was a posteriori added for whom the injection time for each single shot of anaesthetic solution was increased to 1 min. In each group the same mixture and volume of anaesthetic solution (a 30 mL mixture of equal parts of 0.5% bupivacaine with adrenaline 1:200,000 and 2% lignocaine) was injected in two separate boluses of 15 mL each through the two positioned needles. A significant association was found between the injection rate and the anaesthetic spread for all tested areas with the exception of the regions supplied by the median nerve. A greater speed of injection was associated with less anaesthetic spread and more frequent block failure. A clear association between the anaesthetic spread to all branches of the brachial plexus and a slower injection rate of the local anaesthetic was found.

journal_name

Eur J Anaesthesiol

authors

Rucci FS,Pippa P,Boccaccini A,Barbagli R

subject

Has Abstract

pub_date

1995-09-01 00:00:00

pages

505-11

issue

5

eissn

0265-0215

issn

1365-2346

journal_volume

12

pub_type

临床试验,杂志文章,随机对照试验
  • The effect of a standardised source of divided attention in airway management: A randomised, crossover, interventional manikin study.

    abstract:BACKGROUND:Dual-tasking, the need to divide attention between concurrent tasks, causes a severe increase in workload in emergency situations and yet there is no standardised training simulation scenario for this key difficulty. OBJECTIVES:We introduced and validated a quantifiable source of divided attention and inves...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/EJA.0000000000000315

    authors: Prottengeier J,Petzoldt M,Jess N,Moritz A,Gall C,Schmidt J,Breuer G

    更新日期:2016-03-01 00:00:00

  • Effects of calcium and magnesium pretreatment on hyperkalaemic cardiac arrest in rats.

    abstract:BACKGROUND AND OBJECTIVE:Administration of calcium safely and effectively reverses many of the electrophysiological actions of hyperkalaemia, but it has not been studied for pretreatment. Based on cellular studies, magnesium also has been suggested to prevent the effects of potassium on the heart. As their mechanisms o...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章

    doi:10.1017/s0265021503000978

    authors: Hollmann MW,Strümper D,Salmons VA,Washington JM,Durieux ME

    更新日期:2003-08-01 00:00:00

  • The effect of anaesthesia on renal function.

    abstract::Anaesthesia and surgical stress can affect renal function and body fluid regulation indirectly as well as directly. The indirect effects, through influences on haemodynamics, sympathetic activity and humoral regulation, are more pronounced than the direct ones. Inhalational anaesthetics generally reduce glomerular fil...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章,评审

    doi:

    authors: Burchardi H,Kaczmarczyk G

    更新日期:1994-05-01 00:00:00

  • Haemodynamic changes induced by hyperbaric bupivacaine during lateral decubitus or supine spinal anaesthesia.

    abstract:BACKGROUND AND OBJECTIVE:Hypotension, the commonest side-effect of spinal anaesthesia, results from sympathetic denervation. This study compared patient positioning (supine vs. decubitus) on haemodynamic variables during spinal anaesthesia. METHODS:After intravenous crystalloid preloading with 5 mL kg(-1), hyperbaric ...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1017/s0265021505001183

    authors: Kelly JD,McCoy D,Rosenbaum SH,Brull SJ

    更新日期:2005-09-01 00:00:00

  • Genetics and postsurgical neuropathic pain: An ancillary study of a multicentre survey.

    abstract:BACKGROUND:Neuropathic pain following surgery could be a useful model for the study of the genetic mechanisms of peripheral neuropathic pain. OBJECTIVE:The aim of this study was to identify genetic predictors of persistent postsurgical neuropathic pain. DESIGN:An ancillary study from a prospective cohort. SETTING:Ei...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章,多中心研究

    doi:10.1097/EJA.0000000000000986

    authors: Blanc P,Génin E,Jesson B,Dubray C,Dualé C,EDONIS-gene Investigating group.

    更新日期:2019-05-01 00:00:00

  • Tramadol-induced hyperalgesia and its prevention by ketamine in rats: A randomised experimental study.

    abstract:BACKGROUND:Opioid analgesia not only reduces inhalational anaesthetic requirements but may also induce delayed hyperalgesia, with potential effects on the minimum alveolar concentration (MAC) of inhalational anaesthetics. OBJECTIVES:The objective of this study was to evaluate the development of tramadol-induced hypera...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章

    doi:10.1097/EJA.0000000000000296

    authors: Abreu M,Aguado D,Benito J,García-Fernández J,Gómez de Segura IA

    更新日期:2015-10-01 00:00:00

  • A rational approach to the control of sedation in intensive care unit patients based on closed-loop control.

    abstract::Optimal control of long-term sedation during therapy in the intensive care unit is difficult to achieve in a number of patients when based on commonly used clinical sedation scores alone. We therefore used the median frequency of the EEG power spectrum as a quantitative measure for closed-loop administration of propof...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章

    doi:10.1046/j.1365-2346.1999.00557.x

    authors: Albrecht S,Frenkel C,Ihmsen H,Schüttler J

    更新日期:1999-10-01 00:00:00

  • Effects of glibenclamide on hydroxyl radical formation in the postischaemic reperfused heart with or without inhalation anaesthetics.

    abstract:BACKGROUND AND OBJECTIVE:We investigated whether glibenclamide (glyburide) affects myocardial metabolism and hydroxyl radical formation in the rat heart-lung preparation with or without inhalation anaesthetics. METHODS:Thirty-seven male Wistar rats were allocated to four groups: (a) control group (C), received vehicle...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章

    doi:10.1046/j.1365-2346.2001.00927.x

    authors: Kashimoto S,Furuya A,Kume M,Yamaguchi T,Kumazawa T

    更新日期:2001-12-01 00:00:00

  • A training simulator for detecting equipment failure in the anaesthetic machine.

    abstract::Simulation is often used for training personnel in activities where the consequences of inappropriate actions are serious. We report a realistic training simulator, which can reproduce practically all potential malfunctions in the anaesthetic machine. Using actual standard equipment (Dameca 10750), the interior of the...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章

    doi:

    authors: Berge JA,Gramstad L,Jensen O

    更新日期:1993-01-01 00:00:00

  • Recent advances in pharmacologic neuroprotection.

    abstract::Although there is a continual improvement in the understanding of the pathophysiology of brain ischaemia and reperfusion, the pharmacological approach of treating or preventing brain ischaemic injury has had limited clinical impact so far. The great majority of clinical trials testing neuroprotectants for the treatmen...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章,评审

    doi:10.1097/EJA.0b013e32832fa606

    authors: Mantz J,Degos V,Laigle C

    更新日期:2010-01-01 00:00:00

  • Evaluation of augmented pulse pressure variation using the Valsalva manoeuvre as a predictor of fluid responsiveness under open-chest conditions: A prospective observational study.

    abstract:BACKGROUND:Pulse pressure variation (PPV) is a well known dynamic preload indicator of fluid responsiveness. However, its usefulness in open-chest conditions remains controversial. OBJECTIVE:We evaluated whether augmented PPV during a Valsalva manoeuvre can predict fluid responsiveness after sternotomy. DESIGN:A pros...

    journal_title:European journal of anaesthesiology

    pub_type: 临床试验,杂志文章

    doi:10.1097/EJA.0000000000000613

    authors: Min JJ,Kim TK,Lee JH,Park J,Cho HS,Kim WS,Lee YT

    更新日期:2017-05-01 00:00:00

  • The effect of dexmedetomidine sedation on brachial plexus block in patients with end-stage renal disease.

    abstract:BACKGROUND AND OBJECTIVE:The study investigated the effect of intravenous dexmedetomidine on brachial plexus block in patients with end-stage renal disease sedated with dexmedetomidine or midazolam for the formation of arteriovenous fistula. METHODS:A supraclavicular brachial plexus block was performed in 68 patients ...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/EJA.0b013e32832a2244

    authors: Rutkowska K,Knapik P,Misiolek H

    更新日期:2009-10-01 00:00:00

  • PREPARE: the prevalence of perioperative anaemia and need for patient blood management in elective orthopaedic surgery: a multicentre, observational study.

    abstract:BACKGROUND:Patient blood management (PBM) can prevent preoperative anaemia, but little is known about practice in Europe. OBJECTIVE:To assess the pre and postoperative prevalence and perioperative management of anaemia in patients undergoing elective orthopaedic surgery in Europe. DESIGN:An observational study; data ...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章,多中心研究

    doi:10.1097/EJA.0000000000000202

    authors: Lasocki S,Krauspe R,von Heymann C,Mezzacasa A,Chainey S,Spahn DR

    更新日期:2015-03-01 00:00:00

  • Acute desflurane or sevoflurane exposure on a previously stabilized atracurium-induced neuromuscular block.

    abstract:BACKGROUND AND OBJECTIVE:The aim of this prospective study was to compare the effect of the administration of desflurane or sevoflurane to a fixed neuromuscular block. METHODS:After written consent, 12 patients were anaesthetized with propofol and sufentanil. Atracurium was administered via a continuous infusion in or...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章

    doi:10.1017/S0265021506000706

    authors: Beaussier M,Boughaba A,Schiffer E,Debaene B,Lienhart A,d'Hollander A

    更新日期:2006-09-01 00:00:00

  • High volume and low concentration of anaesthetic solution in the perivascular interscalene sheath determines quality of block and incidence of complications.

    abstract:BACKGROUND AND OBJECTIVE:In the perivascular sheath of the brachial plexus, the volume of anaesthetic solution determines the quality of anaesthetic cover. Fibrous septa may divide the perivascular space into compartments, leading to inadequate diffusion of the anaesthetic solution. The aim of our study was to obtain g...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1017/S0265021506001074

    authors: Pippa P,Cuomo P,Panchetti A,Scarchini M,Poggi G,D'Arienzo M

    更新日期:2006-10-01 00:00:00

  • Abnormalities of contrast sensitivity and electroretinogram following sevoflurane anaesthesia.

    abstract:BACKGROUND AND OBJECTIVE:We tested the hypothesis that disturbances of the visual pathway following sevoflurane general anaesthesia (a) exist and persist even after clinical discharge criteria have been met and (b) are associated with decreased contrast sensitivity. METHODS:We performed pattern and full-field flash el...

    journal_title:European journal of anaesthesiology

    pub_type: 临床试验,杂志文章

    doi:10.1017/s0265021504008105

    authors: Iohom G,Gardiner C,Whyte A,O'Connor G,Shorten G

    更新日期:2004-08-01 00:00:00

  • Learning curves of the Glidescope, the McGrath and the Airtraq laryngoscopes: a manikin study.

    abstract:BACKGROUND AND OBJECTIVE:Several video and optical laryngoscopes have been developed but few have been compared in terms of their learning curves and efficacy. Using a manikin with normal airways we compared the Glidescope, the McGrath, the Airtraq and the Macintosh laryngoscopes. METHODS:Sixty anaesthetists (20 staff...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/eja.0b013e3283269ff4

    authors: Savoldelli GL,Schiffer E,Abegg C,Baeriswyl V,Clergue F,Waeber JL

    更新日期:2009-07-01 00:00:00

  • Epidural combination of ropivacaine with sufentanil for postoperative analgesia after total knee replacement: a pilot study.

    abstract:BACKGROUND AND OBJECTIVE:We assessed the analgesic efficacy of postoperative epidural infusions of ropivacaine 0.1 and 0.2% combined with sufentanil 1 microg mL(-1) in a prospective, randomized, double-blinded study. METHODS:Twenty-two ASA I-III patients undergoing elective total-knee replacement were included. Lumbar...

    journal_title:European journal of anaesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1017/s0265021502001096

    authors: Kampe S,Diefenbach C,Kanis B,Auweiler M,Kiencke P,Cranfield K

    更新日期:2002-09-01 00:00:00

  • Drugs mediating myocardial protection.

    abstract::The occurrence of myocardial ischaemia will result in either reversible or irreversible myocardial dysfunction. Even when revascularization is successful, some reperfusion injury may occur that transiently impairs myocardial function. Therefore, treatment should not only be directed towards prompt restoration of myoca...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章,评审

    doi:10.1097/EJA.0b013e32832fad8b

    authors: De Hert SG,Preckel B,Hollmann MW,Schlack WS

    更新日期:2009-12-01 00:00:00

  • Quadratus lumborum block for postoperative pain after caesarean section: A randomised controlled trial.

    abstract:BACKGROUND:Effective postoperative analgesia after caesarean section is important because it enables early ambulation and facilitates breast-feeding. Several case reports have shown that local anaesthetic injection around the quadratus lumborum muscle is effective in providing pain relief after various abdominal operat...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/EJA.0000000000000299

    authors: Blanco R,Ansari T,Girgis E

    更新日期:2015-11-01 00:00:00

  • Dynamic hyperinflation and intrinsic PEEP during mechanical ventilation.

    abstract::Dynamic hyperinflation, also called intrinsic PEEP (PEEPi,) occurs particularly when high tidal volumes or high respiratory rates are used during mechanical ventilation, although the phenomenon does occur at normal tidal volumes. It is not identified using existing monitoring such as the airway pressure but can be ide...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章,评审

    doi:

    authors: Romand JA,Suter PM

    更新日期:1994-01-01 00:00:00

  • The base excess gap is not a valid tool for the quantification of unmeasured ions in cardiac surgical patients: a retrospective observational study.

    abstract:BACKGROUND:The base excess gap (BE(gap)) method is commonly used for the quantification of unmeasured ions in critically ill patients. However, it has never been validated against the standard quantitative acid-base approach. OBJECTIVE:To compare the BE(gap) as a tool for the prediction of the excess of unmeasured ion...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章

    doi:10.1097/EJA.0b013e32836412db

    authors: Agrafiotis M,Sileli M,Ampatzidou F,Keklikoglou I,Panousis P

    更新日期:2013-11-01 00:00:00

  • Pulmonary lipiodol embolism during transcatheter arterial chemoembolization for hepatoblastoma under general anaesthesia.

    abstract::We present a case of pulmonary embolism that occurred during the injection of lipiodol during transcatheter arterial chemoembolization under general anaesthesia. A 7-year-old child suffering from a large hepatoblastoma was admitted for arterial chemoembolization and carcinostatic administration. Pulmonary embolism due...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章

    doi:10.1046/j.1365-2346.2000.00759.x

    authors: Yamaura K,Higashi M,Akiyoshi K,Itonaga Y,Inoue H,Takahashi S

    更新日期:2000-11-01 00:00:00

  • A case for competency-based anaesthesiology training with entrustable professional activities: an agenda for development and research.

    abstract::Competency frameworks are based on what are considered to be the general essential qualities of a doctor. Competencies, being behavioural descriptors, need a strong link to clinical practice to allow trainers to observe and then use them in assessing trainees' performance. The emerging concept of entrustable professio...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章,评审

    doi:10.1097/EJA.0000000000000109

    authors: Jonker G,Hoff RG,Ten Cate OT

    更新日期:2015-02-01 00:00:00

  • Intravenous ketamine attenuates arterial pressure changes during the induction of anaesthesia with propofol.

    abstract:BACKGROUND AND OBJECTIVE:To investigate whether the administration of ketamine before induction with propofol produces a smaller decrease in arterial pressure. METHODS:Twenty-two patients were assigned to one of two groups to receive either propofol with ketamine (n = 11) or propofol alone (n = 11, control). Anaesthes...

    journal_title:European journal of anaesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.0265-0215.2000.00784.x

    authors: Furuya A,Matsukawa T,Ozaki M,Nishiyama T,Kume M,Kumazawa T

    更新日期:2001-02-01 00:00:00

  • Implementing situation-background-assessment-recommendation in an anaesthetic clinic and subsequent information retention among receivers: A prospective interventional study of postoperative handovers.

    abstract:BACKGROUND:Communication errors cause clinical incidents and adverse events in relation to surgery. To ensure proper postoperative patient care, it is essential that personnel remember and recall information given during the handover from the operating theatre to the postanaesthesia care unit. Formalizing the handover ...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章,多中心研究

    doi:10.1097/EJA.0000000000000335

    authors: Randmaa M,Swenne CL,Mårtensson G,Högberg H,Engström M

    更新日期:2016-03-01 00:00:00

  • Psychomotor dysfunction after remifentanil/propofol anaesthesia.

    abstract:BACKGROUND AND OBJECTIVES:Early recovery after anaesthesia is gaining importance in fast track management. The aim of this study was to quantify psychomotor recovery within the first 24 h after propofol/remifentanil anaesthesia using the Short Performance Test (Syndrom Kurztest (SKT)), consisting of nine subtests. The ...

    journal_title:European journal of anaesthesiology

    pub_type: 杂志文章

    doi:10.1017/S0265021506001530

    authors: Dressler I,Fritzsche T,Cortina K,Pragst F,Spies C,Rundshagen I

    更新日期:2007-04-01 00:00:00

  • The ProSeal laryngeal mask airway and the laryngeal tube Suction for ventilation in gynaecological patients undergoing laparoscopic surgery.

    abstract:BACKGROUND AND OBJECTIVE:ProSeal Laryngeal Mask Airway (PLMA) and Laryngeal Tube Suction (LTS), supraglottic airway devices allowing gastric drainage, were compared in this prospective, randomized study for airway management under conditions with elevated intra-abdominal pressure induced by capnoperitoneum. METHODS:Fi...

    journal_title:European journal of anaesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1017/s0265021505000220

    authors: Roth H,Genzwuerker HV,Rothhaas A,Finteis T,Schmeck J

    更新日期:2005-02-01 00:00:00

  • Maintenance of surgical muscle relaxation by repeat doses of vecuronium and atracurium at three different dose levels.

    abstract::The time-course of the neuromuscular effects of vecuronium (n = 25) and atracurium (n = 25) has been compared at three different levels of maintenance dose in anaesthetized patients. Following intubation with vecuronium 0.1 mg kg-1 or atracurium 0.5 mg kg-1, surgical muscle relaxation was maintained by using increment...

    journal_title:European journal of anaesthesiology

    pub_type: 临床试验,杂志文章

    doi:

    authors: Khuenl-Brady KS,Scharz S,Richardson FJ,Mitterschiffthaler G

    更新日期:1991-01-01 00:00:00

  • Effects of different glucose concentrations on spinal anaesthesia with bupivacaine and tetracaine.

    abstract::The effects of 5% and 8% glucose in 0.5% tetracaine or bupivacaine on the anaesthetic spread were investigated in 80 urological patients requiring spinal anaesthesia for trans-urethral resection of the prostate. The local anaesthetic solutions were randomly administered, the patients being divided into four groups of ...

    journal_title:European journal of anaesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Janik R,Dick W,Stanton-Hicks MD

    更新日期:1989-05-01 00:00:00