[Brachial plexus block and locoregional anesthesia of the upper limb. Apropos of 50 cases].
The authors report their experience about 50 cases of supra clavicular plexus block realised by Kulenkampff method. The anesthesia obtained has been complete in 84% of cases and in the 16% remaining general anesthesia was necessary to permit surgery. A case of late moderate pleural detachment and a case of post anesthesia paresthesia both spontaneously resolving were registered. Actually the adoption of perivascular techniques of brachial plexus anesthesia (interscalenic, supraclavicular, axillary) have greatly improved the performance of this variety of upper limb locoregional anesthesia, thus reducing the percentage of failure and eliminating or reducing the risk of pneumothorax. Locoregional anesthesia of the upper limb should constitute a daily method in the surgery of upper limb and not a technic subordinated to the contra-indications of general anesthesia.
D000293:Adolescent; D000328:Adult; D000368:Aged; D000765:Anesthesia, Conduction; D001132:Arm / Q000601:surgery*; D001917:Brachial Plexus; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009407:Nerve Block / Q000379:methods*
Bloc du plexus brachial et anesthésie loco-régionale du membre supérieur. A propos de 50 cas.