Abstract:In Reply:-We thank Drs. Brull et al., Shankar, and Nelson for responding to our case report of accidental intravascular injection of local anesthetic and epinephrine during ultrasound-guided perivascular axillary block. 1 The suggestions provided by Dr. Brull's group for improved safety during ultrasound-guided axillary block seem reasonable. The large case series of axillary blocks recently published by Dr. Brull et al. bears witness to their experience of significantly reduced (but not completely eliminated… Show more
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