A comparison between double-injection axillary brachial plexus block and midhumeral block for emergency upper limb surgery.

Fuzier, Régis; Fourcade, Olivier; Pianezza, Antoine; Gilbert, Marie-Luce; Bounes, Vincent; Olivier, Michel · Anesth Analg · 2006

rct · Level II

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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.

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