Ultrasound-Guided Axillary Brachial Plexus Block with 20 Milliliters Local Anesthetic Mixture Versus General Anesthesia for Upper Limb Trauma Surgery: An Observer-Blinded, Prospective, Randomized, Controlled Trial

Abstract

Ultrasound-guided axillary brachial plexus block with 20 mL local anesthetic mixture provided satisfactory anesthesia and superior analgesia after upper limb trauma surgery when compared with general anesthesia.

An evaluation of operating room throughput in a stand-alone soft-tissue trauma operating theatre

“…The potential to shorten duration of recovery room stay and bypass the phase 2 recovery by using regional anaesthesia has been previously reported worldwide along with other benefits [9][10][11]. Our own group demonstrated in a separate study that all upper limb trauma patients undergoing surgery under brachial plexus block alone bypassed the recovery room [12]. This has the potential to allow redeployment of nursing within the OR as part of an integrated OR management plan.…”

Salvaging a Crush Avulsed Ischemic Upper Limb with Complete Radial and Ulnar Artery Transection at a Peripheral Medical Setup: Case Report

“…Since this patient was full stomach and also under the influence of alcohol, regional anaesthesia was considered, keeping in view the superior quality analgesia, decreases the opioid usage, and also shorter time to regain ambulation post procedure, brachial plexus block was preffered. 6 General endotracheal tube anaesthesia in this scenario would had necessitated a rapid sequence intubation, and subjected the patient to unnecessary airway risks and risk of aspiration. Upper limb injuries are unique, due to smaller muscle mass, they have less chances of developing crush syndrome; rich collateral vasculature offer them a longer ischemia time allowing a critical time of approximately ten hours for reperfusion as opposed to almost six hours for lower limb injuries.…”

The Retrospective Comparison of the Effects of Low and High Volume Practices in Ultrasonography Guided Axillary Brachial Plexus Block

“…15 Bizim çalışmamızda adjuvan ajan kullanmadan düşük volüm grubunda benzer so- 16 Ferraro ve ark., her bir sinir için 1,56 mL volümün (%0,5 bupivakain, 1:200.000 epinefrin) yeterli blok için uygun olduğunu belirtmişlerdir. 17 Bu retrospektif taramada, USG'den yararlanarak 25 mL ve 40 mL lokal anestetik ajan (%0,5 bupivakain, %2 lidokain) kullanılmış olan aksiller blok uygulanmış hastaları retrospektif olarak incelediğimizde düşük volüm uygulanmasının da geleneksel yük-sek volüme benzer şekilde başarılı blok için yeterli olduğu gözlemlenmiştir.…”