Two approaches to the axillary brachial plexus. Loss of resistance to saline or paraesthesia?
A new technique of cannulation of the axillary neurovascular sheath, using loss of resistance to saline, was evaluated and compared to the established technique of eliciting paraesthesiae with a short-bevelled needle. The cannulation technique produced a more reliable block of axillary, musculocutaneous and radial nerves, significantly fewer incomplete blocks and a lower incidence of accidental vessel puncture.
Hill
D A
DA
Department of Anaesthetics, Ulster Hospital, Belfast.
Campbell
W I
WI
D000293:Adolescent; D000328:Adult; D001917:Brachial Plexus; D002406:Catheterization, Peripheral / Q000379:methods; D004837:Epinephrine / Q000008:administration & dosage; D006801:Humans; D008012:Lidocaine / Q000008:administration & dosage; D008875:Middle Aged; D009407:Nerve Block / Q000379:methods*; D012965:Sodium Chloride / Q000008:administration & dosage; D013997:Time Factors
D012965:Sodium Chloride; D008012:Lidocaine; D004837:Epinephrine