The effectiveness of the axillary plexus block in the resource-limited area of a low-income country, Ethiopia: a prospective cohort study
A eficácia do bloqueio do plexo axilar na área de recursos limitados de um país de baixa renda, Etiópia: um estudo de coorte prospectivo
Fantahun Tarekegn, Misganew Terefe, Kassaw Moges
Abstract
The brachial plexus block is the preferred regional anesthesia for upper limb surgery because it has the clinical benefits of less nausea and vomiting, longer pain relief, and earlier hospital discharge for outpatient surgery.1,2 According to Carlos A. and Jaime A.’s anatomical study, the median, radial, and ulnar nerves are found in discrete fascial compartments of the axillary neurovascular sheath.3 Burnham and his colleagues discovered that accumulating local anesthetic solution in the axillary sheath could make the blocking procedure easier and allow for a single axillary injection.4
The success rate of axillary plexus block is dependent on the loss of resistance to the axillary sheath.5 In addition, the standard criterion for the onset of the block was set arbitrarily at 30 minutes for the assessment of primary axillary block.6 A variety of tools are available to evaluate the effectiveness of axillary blockage, such as pinprick or loss of cold sensation with an icepack,7 and skin temperature.8
The main objective of our study was to establish the overall success rate and incidence of complications associated with the axillary plexus block with loss of resistance technique for forearm, wrist, or hand surgery.
References
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