title: A comparison between double-injection axillary brachial plexus block and midhumeral block for emergency upper limb surgery.
abstract: 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.
authors.affiliation: Department of Anesthesiology and Emergency Care. University Hospital Center. Purpan Hospital, Toulouse, France. fuzier.r@chu-toulouse.fr
authors.forename: Régis
authors.initials: R
authors.lastname: Fuzier
authors.forename: Olivier
authors.initials: O
authors.lastname: Fourcade
authors.forename: Antoine
authors.initials: A
authors.lastname: Pianezza
authors.forename: Marie-Luce
authors.initials: ML
authors.lastname: Gilbert
authors.forename: Vincent
authors.initials: V
authors.lastname: Bounes
authors.forename: Michel
authors.initials: M
authors.lastname: Olivier
mesh_terms: 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
chemical_list: D000577:Amides; D000779:Anesthetics, Local; D000077212:Ropivacaine