In some respects, the anesthetic method was as extensive as the surgical procedure. In , G. Hirschel described a percutaneous technique for brachial plexus blockade by injecting local anesthetic around the axillary artery.
A century later, the science of brachial plexus block has become one of the most important anesthetic and analgesic techniques for the upper extremity.
Skip to main content. This service is more advanced with JavaScript available. Advertisement Hide. Chapter First Online: 22 September This process is experimental and the keywords may be updated as the learning algorithm improves. This is a preview of subscription content, log in to check access. Winnie AP. Plexus anesthesia: perivascular techniques of brachial plexus block.
Philadelphia: W. Saunders Co; Google Scholar. Raj PP. Infraclavicular approaches to brachial plexus anesthesia. Tech Reg Anesth Pain Manag. Greengrass RA. Regional anesthesia for ambulatory surgery. Anesthesiol Clin North America. Can anesthetic technique for primary breast cancer surgery affect recurrence or metastasis?
Gerancher JC. Upper extremity nerve blocks. Brachial plexus variations in its formation and main branches. Acta Cir Bras. CrossRef Google Scholar. Brachial plexus variations in human fetuses.
Upper limb, clinically oriented anatomy. Scalene muscles and the brachial plexus: anatomical variations and their clinical significance. Clin Anat. Brachial plexus anesthesia: essentials of our current understanding. Reg Anesth Pain Med. PubMed Google Scholar. Functional anatomy of the brachial plexus sheaths. Cornish PB, Leaper C. The sheath of the brachial plexus: fact or fiction?
Gross anatomy of the brachial plexus sheath in human cadavers. Factors influencing distribution of local anesthetic injected into the brachial plexus sheath. Anesth Analg. Marhofer P, Chan VW. You will be able to get a quick price and instant permission to reuse the content in many different ways. Skip to main content.
Log in via OpenAthens. Log in using your username and password For personal accounts OR managers of institutional accounts. Forgot your log in details? Register a new account? Forgot your user name or password? Search for this keyword. Advanced search. Results The CCS was visualized as a well-defined intermuscular space lying deep and posterior to the mid-point of the clavicle.
The cords of the brachial plexus were clustered together lateral to the axillary artery within the CCS. The costoclavicular BPB was successfully performed in all patients, and the median onset time for sensory and motor blockade of all the 4 nerves was 5 [5—15] and 5 [5—10] minutes, respectively.
There were no complications directly related to the technique or the local anesthetic injection. Conclusions This report describes a novel technique of infraclavicular BPB at the costoclavicular space that produces rapid onset of BPB. Future research should compare the safety and efficacy of this new technique with the traditional lateral sagittal infraclavicular BPB.
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