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Anesth Analg 2006;102:1856-1858
© 2006 International Anesthesia Research Society
doi: 10.1213/01.ane.0000216281.62141.9d

REGIONAL ANESTHESIA

A Comparison Between Double-Injection Axillary Brachial Plexus Block and Midhumeral Block for Emergency Upper Limb Surgery

Régis Fuzier, MD, Olivier Fourcade, MD, PhD, Antoine Pianezza, MD, Marie-Luce Gilbert, MD, Vincent Bounes, MD, and Michel Olivier, MD

Department of Anesthesiology and Emergency Care. University Hospital Center. Purpan Hospital, Toulouse, France

Address correspondence and reprint requests to Régis Fuzier, MD, Department of Anesthesiology, CHU Purpan, Place Dr Baylac, TSA 40031, F-31059 Toulouse cedex, France. Address e-mail to fuzier.r{at}chu-toulouse.fr.

In this prospective and randomized study, we compared a double-injection axillary (median and radial nerves) block with a midhumeral block in 90 patients undergoing emergency upper limb surgery. Time to perform the block, success rate, and patient tolerance were evaluated. The time to perform the block was 5 min longer in the midhumeral group. The success rate was similar in both groups (80% and 91% in groups axillary and midhumeral respectively), except for the musculocutaneous nerve. Patient tolerance was better in the axillary group. Double-injection axillary brachial plexus block is superior to midhumeral block for emergency hand surgery.




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2006 by the International Anesthesia Research Society.