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

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    Authors
    Frizelle, H P
    Affiliation
    Department of Anesthesia, Cork University Hospital, Wilton, Ireland., hpfiiz@indigo.ie
    Issue Date
    2012-02-03T15:13:11Z
    MeSH
    Arm/surgery
    *Brachial Plexus
    Electric Stimulation
    Female
    Humans
    Humerus
    Male
    Nerve Block/*methods
    
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    Show full item record
    Citation
    Yale J Biol Med. 1998 Nov-Dec;71(6):585-9.
    Journal
    The Yale journal of biology and medicine
    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
    ISSN
    0044-0086 (Print)
    0044-0086 (Linking)
    Collections
    Cork University Hospital

    entitlement

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