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Abstract
Purpose:
We examined the success rate and adverse effects of ultrasound-guided axillary and supraclavicular approach brachial plexus block.
Methods:
From December 2013 to February 2014, 580 cases of patients received ultrasound-guided axillary approach or supraclavicular approach brachial plexus block. All blocks were performed by one anesthesiologist under ultrasound visualization using 0.2% or 0.75% ropivacaine 1% lidocaine with epinephrine in 1:200,000 as the anesthetic mixture.
Results:
Failure rate of ultrasound-guided brachial plexus block was 1.2% and 0.2% in axillary and supraclavicular approach, respectively. In supraclavicular approach brachial plexus block, Honer's syndrome was observed in 17.9%, chest discomfort in 14.9%, and arterial puncture in 1%. There was no adverse effect in axillary approach brachial plexus block.
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Table 1.
Demographic data
Table 2.
Incomplete anesthesia and its involved nerve and management
| Group | No. of cases | Failure rate (%) | Failed nerve | Management |
|---|---|---|---|---|
| Group AA (n=84) | 1 | 1.2 | Radial nerve | Sedative |
| Group SA (n=496) | 1 | 0.2 | Ulnar nerve | Local injection and sedative |
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