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J Hand Surg Eur Vol · May 1988
Brachial plexus anaesthesia for upper limb surgery: a review of eight years' experience.
- A M Thompson, R J Newman, and J C Semple.
- Department of Orthopaedic Surgery, Western Infirmary, Glasgow.
- J Hand Surg Eur Vol. 1988 May 1;13(2):195-8.
Abstract1248 supraclavicular brachial plexus blocks and 665 axillary plexus blocks were administered to 1913 patients undergoing upper limb surgery. Plexus block alone was successful in 83.5%. In a further 11.4% of cases, adequate anaesthesia was obtained following augmentation by other regional or local techniques. This resulted in an overall success rate of 94.9% and general anaesthesia was required in only 5.1%. The two percutaneous approaches to the brachial plexus did not differ in their success-rates but clinically apparent pneumothorax occurred in 0.8% of supraclavicular blocks. Brachial plexus block anaesthesia is recommended as a safe and satisfactory alternative to general anaesthesia for upper limb surgery.
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