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REGIONAL ANESTHESIA

The Use of a "Reverse" Axis (Axillary-Interscalene) Block in a Patient Presenting with Fractures of the Left Shoulder and Elbow

College of Physicians & Surgeons, Columbia University, New York, New York

Address correspondence to Anthony R. Brown, MBChB, Columbia University College of Physicians & Surgeons, Department of Anesthesia, P + S Box 46, 630 West 168th Street, New York, NY 10032. Address e-mail to arb6{at}columbia.edu

IMPLICATIONS:A patient presented for surgery to repair a fractured left shoulder and elbow and requested regional anesthesia. Most upper extremity operations require a single brachial plexus nerve block. The position of the two fractures however required the use of two separate approaches, an interscalene and an axillary approach.

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