Technical note: the humeral canal approach to the brachial plexus.

Hdl Handle:
http://hdl.handle.net/10147/209135
Title:
Technical note: the humeral canal approach to the brachial plexus.
Authors:
Frizelle, H P
Affiliation:
Department of Anesthesia, Cork University Hospital, Wilton, Ireland., hpfiiz@indigo.ie
Citation:
Yale J Biol Med. 1998 Nov-Dec;71(6):585-9.
Journal:
The Yale journal of biology and medicine
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/209135
PubMed ID:
10604788
Abstract:
Many variations to the axillary approach to the brachial plexus have been described. However, the success rate varies depending on the approach used and on the definition of success. Recent work describes a new approach to regional anaesthesia of the upper limb at the humeral/brachial canal using selective stimulation of the major nerves. This report outlines initial experience with this block, describing the technique and results in 50 patients undergoing hand and forearm surgery. All patients were assessed for completeness of motor and sensory block. The overall success rate was 90 percent. Motor block was present in 80 percent of patients. Completion of the block was necessary in 5 patients. Two patients required general anaesthesia. The preponderance of ulnar deficiencies agrees with previously published data on this technique. No complications were described. Initial experience confirms the high success rate described using the Dupre technique. This technically straightforward approach with minimal complications can be recommended for regional anaesthesia of the upper limb.
Language:
eng
MeSH:
Arm/surgery; *Brachial Plexus; Electric Stimulation; Female; Humans; Humerus; Male; Nerve Block/*methods
ISSN:
0044-0086 (Print); 0044-0086 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorFrizelle, H Pen_GB
dc.date.accessioned2012-02-03T15:13:11Z-
dc.date.available2012-02-03T15:13:11Z-
dc.date.issued2012-02-03T15:13:11Z-
dc.identifier.citationYale J Biol Med. 1998 Nov-Dec;71(6):585-9.en_GB
dc.identifier.issn0044-0086 (Print)en_GB
dc.identifier.issn0044-0086 (Linking)en_GB
dc.identifier.pmid10604788en_GB
dc.identifier.urihttp://hdl.handle.net/10147/209135-
dc.description.abstractMany variations to the axillary approach to the brachial plexus have been described. However, the success rate varies depending on the approach used and on the definition of success. Recent work describes a new approach to regional anaesthesia of the upper limb at the humeral/brachial canal using selective stimulation of the major nerves. This report outlines initial experience with this block, describing the technique and results in 50 patients undergoing hand and forearm surgery. All patients were assessed for completeness of motor and sensory block. The overall success rate was 90 percent. Motor block was present in 80 percent of patients. Completion of the block was necessary in 5 patients. Two patients required general anaesthesia. The preponderance of ulnar deficiencies agrees with previously published data on this technique. No complications were described. Initial experience confirms the high success rate described using the Dupre technique. This technically straightforward approach with minimal complications can be recommended for regional anaesthesia of the upper limb.en_GB
dc.language.isoengen_GB
dc.subject.meshArm/surgeryen_GB
dc.subject.mesh*Brachial Plexusen_GB
dc.subject.meshElectric Stimulationen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHumansen_GB
dc.subject.meshHumerusen_GB
dc.subject.meshMaleen_GB
dc.subject.meshNerve Block/*methodsen_GB
dc.titleTechnical note: the humeral canal approach to the brachial plexus.en_GB
dc.contributor.departmentDepartment of Anesthesia, Cork University Hospital, Wilton, Ireland., hpfiiz@indigo.ieen_GB
dc.identifier.journalThe Yale journal of biology and medicineen_GB
dc.description.provinceMunster-

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