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Efficacy and safety of axillary brachial plexus block for operations on the hand.

Andersson, Annalena ; Åkeson, Jonas LU and Dahlin, Lars B (2006) In Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery 40(4). p.225-229
Abstract
An axillary brachial plexus nerve block by a transarterial approach is commonly used to achieve regional anaesthesia for hand surgery. We designed a retrospective study to evaluate efficacy and safety of the technique for acute and elective operations. Anaesthetic records of 189 of all 5520 patients (1996-2000) who had axillary brachial plexus blocks for hand surgery were reviewed, and results compared with complications recorded in the anaesthetic register and in the hand surgery records. Successful axillary block was achieved in 5128/5520 (93%) of patients, according to anaesthetic charts, and primarily in 157/189 (83%), and after supplementation in 171/189 (90%), according to anaesthetic records. Four patients had a toxic drug reaction... (More)
An axillary brachial plexus nerve block by a transarterial approach is commonly used to achieve regional anaesthesia for hand surgery. We designed a retrospective study to evaluate efficacy and safety of the technique for acute and elective operations. Anaesthetic records of 189 of all 5520 patients (1996-2000) who had axillary brachial plexus blocks for hand surgery were reviewed, and results compared with complications recorded in the anaesthetic register and in the hand surgery records. Successful axillary block was achieved in 5128/5520 (93%) of patients, according to anaesthetic charts, and primarily in 157/189 (83%), and after supplementation in 171/189 (90%), according to anaesthetic records. Four patients had a toxic drug reaction or axillary haematoma with a transient neurological deficit. Medical complications were recorded in the anaesthetic register in less than 0.7% of axillary brachial plexus procedures. Axillary brachial plexus block by a transarterial approach is effective and safe in hand surgery. (Less)
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Contribution to journal
publication status
published
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in
Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery
volume
40
issue
4
pages
225 - 229
publisher
Taylor & Francis
external identifiers
  • wos:000239816700006
  • scopus:33747621817
ISSN
1651-2073
DOI
10.1080/02844310600836778
language
English
LU publication?
yes
id
7f8136a7-b382-43ff-a08e-e0556b443fe2 (old id 160087)
alternative location
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=16911996&dopt=Abstract
date added to LUP
2016-04-01 17:15:30
date last changed
2020-03-11 05:51:12
@article{7f8136a7-b382-43ff-a08e-e0556b443fe2,
  abstract     = {An axillary brachial plexus nerve block by a transarterial approach is commonly used to achieve regional anaesthesia for hand surgery. We designed a retrospective study to evaluate efficacy and safety of the technique for acute and elective operations. Anaesthetic records of 189 of all 5520 patients (1996-2000) who had axillary brachial plexus blocks for hand surgery were reviewed, and results compared with complications recorded in the anaesthetic register and in the hand surgery records. Successful axillary block was achieved in 5128/5520 (93%) of patients, according to anaesthetic charts, and primarily in 157/189 (83%), and after supplementation in 171/189 (90%), according to anaesthetic records. Four patients had a toxic drug reaction or axillary haematoma with a transient neurological deficit. Medical complications were recorded in the anaesthetic register in less than 0.7% of axillary brachial plexus procedures. Axillary brachial plexus block by a transarterial approach is effective and safe in hand surgery.},
  author       = {Andersson, Annalena and Åkeson, Jonas and Dahlin, Lars B},
  issn         = {1651-2073},
  language     = {eng},
  number       = {4},
  pages        = {225--229},
  publisher    = {Taylor & Francis},
  series       = {Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery},
  title        = {Efficacy and safety of axillary brachial plexus block for operations on the hand.},
  url          = {http://dx.doi.org/10.1080/02844310600836778},
  doi          = {10.1080/02844310600836778},
  volume       = {40},
  year         = {2006},
}