title: The bifid axillary artery.
abstract: The anesthetic of a patient who presented for vascular access under axillary block is described. After physical examination and ultrasound study, the patient was found to have a bifid axillary artery. Because of neurologic anomalies associated with this vascular variation, an interscalene block was chosen for the procedure. The clinical implications of a bifid axillary artery when an axillary block is contemplated are discussed.
authors.affiliation: Department of Anesthesiology, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, USA. Paul_Bigeleisen@URMC.Rochester.edu
authors.forename: Paul E
authors.initials: PE
authors.lastname: Bigeleisen
mesh_terms: D000322:Adrenergic Agonists / Q000627:therapeutic use; D000328:Adult; D000779:Anesthetics, Local / Q000627:therapeutic use; D001366:Axillary Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging; D002045:Bupivacaine / Q000627:therapeutic use; D003922:Diabetes Mellitus, Type 1 / Q000150:complications; D003956:Dialysis / Q000009:adverse effects; D004338:Drug Combinations; D004837:Epinephrine / Q000627:therapeutic use; D005402:Fistula / Q000150:complications / Q000601:surgery; D006801:Humans; D008297:Male; D008488:Medical Illustration; D008619:Mepivacaine / Q000627:therapeutic use; D009407:Nerve Block / Q000379:methods*; D014463:Ultrasonography; D034941:Upper Extremity / Q000601:surgery
chemical_list: D000322:Adrenergic Agonists; D000779:Anesthetics, Local; D004338:Drug Combinations; D008619:Mepivacaine; D002045:Bupivacaine; D004837:Epinephrine