A comparison between double-injection axillary brachial plexus block and midhumeral block for emergency upper limb surgery.
In this prospective and randomized study, we compared a double-injection axillary (median and radial nerves) block with a midhumeral block in 90 patients undergoing emergency upper limb surgery. Time to perform the block, success rate, and patient tolerance were evaluated. The time to perform the block was 5 min longer in the midhumeral group. The success rate was similar in both groups (80% and 91% in groups axillary and midhumeral respectively), except for the musculocutaneous nerve. Patient tolerance was better in the axillary group. Double-injection axillary brachial plexus block is superior to midhumeral block for emergency hand surgery.
Fuzier
Régis
R
Department of Anesthesiology and Emergency Care. University Hospital Center. Purpan Hospital, Toulouse, France. fuzier.r@chu-toulouse.fr
Fourcade
Olivier
O
Pianezza
Antoine
A
Gilbert
Marie-Luce
ML
Bounes
Vincent
V
Olivier
Michel
M
D000328:Adult; D000577:Amides / Q000008:administration & dosage*; D000779:Anesthetics, Local / Q000008:administration & dosage*; D001917:Brachial Plexus; D004630:Emergencies; D005260:Female; D005542:Forearm / Q000601:surgery*; D006225:Hand / Q000601:surgery*; D006801:Humans; D008297:Male; D009407:Nerve Block / Q000379:methods*; D019148:Neuromuscular Blockade; D000077212:Ropivacaine
D000577:Amides; D000779:Anesthetics, Local; D000077212:Ropivacaine