Khirurgii͡a
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The technique of coracoid block described by Whiffler has been improved by use of neurostimulator (Stimuplex--B. Braun) and changing the angle of insertion of the neurostimulation needle (Stimuplex needle A150, 0.90 x 150 mm). ⋯ The acquired results of the alteration of the sensitivity and motor function prove an effective block within all the regions distally of the upper brachium in 91.4 of the patients and no complications. The proposed technique of coracoid block is a safe and easily performed method for regional anesthesia routinely applied in planned, urgent and outpatient surgery of the upper extremity.
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A technique is described which combines the advantages of interscalene (IS) and supraclavicular block (SCB) and avoids their disadvantages due to complications such as pneumothorax, high spinal and epidural block, cervical plexus block, puncture of a. subclavia and a. vertebralis. The technique has been applied on 110 patients with I-II degree of ASA functional status and indicated for surgical or plysiotherapeutic treatment at the region of the shoulder and upper extremity. ⋯ The effectiveness, security and ability for control through the proposed technique of the brachial plexus anesthesia are investigated. The results we obtained prove an effective block in 93% of the patients together with a low incidence of complications, which determines the technique as a method of choice in the planned, urgent and outpatient surgery.