• Br J Anaesth · Jan 2001

    Randomized Controlled Trial Comparative Study Clinical Trial

    Comparison of two neurostimulation techniques for axillary brachial plexus blockade.

    • D M Coventry, K F Barker, and M Thomson.
    • Department of Anaesthetics, Ninewells Hospital and Medical School, Dundee, UK.
    • Br J Anaesth. 2001 Jan 1;86(1):80-3.

    AbstractThis prospective, randomized, double-blind study compared two techniques of axillary brachial plexus block using a peripheral nerve stimulator. Both groups received initial musculocutaneous nerve block followed by either a single injection on median nerve stimulation (group 1) or a double injection divided between median and radial nerves (group 2). All 60 patients received a total of 30 ml of lidocaine 15 mg/ml with epinephrine 5 microg/ml. Complete sensory blockade of all six peripheral nerves occurred in 53% and 97% of patients in groups 1 and 2, respectively (P<0.001), with a more rapid onset of blockade occurring in group 2 patients (P<0.001). Complete motor blockade was evident in 30% and 83% of patients in groups 1 and 2, respectively (P<0.001).

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