title: The extent of blockade following axillary and infraclavicular approaches of brachial plexus block in uremic patients.
abstract: BACKGROUND
  This study was aimed to compare the axillary approach performed through multiple injection method and vertical infraclavicular approach performed through single injection method in terms of the sensory and motor block onset, quality, and extent of blocks of brachial plexus in uremic patients who underwent arteriovenous fistula surgery.
  
  
  METHODS
  Forty patients scheduled for creation of arteriovenous fistula with axillary brachial plexus block (group AX, n = 20) or infraclavicular brachial plexus block (IC group, n = 20) were examined. The median, radial, ulnar, and musculocutaneous nerves were selectively localized by nerve stimulation. The volume of the local anesthetics was calculated based on the height of each patient, and the volume determined was prepared by mixing 2% lidocaine and 0.5% bupivacaine in equal proportions. Sensory and motor block were assessed at 3, 6, 9, 12, 15, 18, and 30th min and their durations were measured.
  
  
  RESULTS
  While the adequate sensory and motor block rate with axillary approach was 100% in musculocutaneous, median, radial, ulnar and medial antebrachial cutaneous nerves, it was 65% in axillary nerve, 80% in intercostobrachial nerve and 95% in medial brachial cutaneous nerve. This rate was found to be 100% for all the nerves with infraclavicular approach.
  
  
  CONCLUSIONS
  For arteriovenous fistula surgeries in uremic patients, both axillary approach performed through multiple injection method and vertical infraclavicular approach performed through single injection method can be used successfully; however, for the short performance of the procedure, infraclavicular block may be preferred.
  
  
  BACKGROUND
  Brachial plexus block; Axillary; Infraclavicular; Uremic patients.
authors.affiliation: Department of Anaesthesiology and Reanimation, Gazi University Faculty of Medicine, Ankara, Turkey.
authors.forename: Damla
authors.initials: D
authors.lastname: Sariguney
authors.forename: Ahmet
authors.initials: A
authors.lastname: Mahli
authors.forename: Demet
authors.initials: D
authors.lastname: Coskun