What is the appropriate dose for axillary brachial plexus blocks? Aksiller blokta ideal doz ne olmalidir?


Aydin E., Çakar Turhan S., ÖKTEN F. F.

Anestezi Dergisi, vol.23, no.3, pp.113-119, 2015 (Scopus) identifier

  • Publication Type: Article / Article
  • Volume: 23 Issue: 3
  • Publication Date: 2015
  • Journal Name: Anestezi Dergisi
  • Journal Indexes: Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.113-119
  • Keywords: Axillary block, Concentration, Local anesthetic volume
  • Ankara University Affiliated: Yes

Abstract

Regional anesthesia provides better perioperative analgesia, decreased opioid requirement, reduced postoperative nausea and vomiting, lesser duration of stay in postoperative care unit and earlier discharge when compared with general anesthesia, so there is an increased interest in regional anesthesia technics in anesthesiology practice. Together with the use of long-acting local anesthetics with lesser cardiotoxic effects such as levobupivacaine and ropivacaine and especially performing successful nerve blocks with very low doses of local anesthetics by direct visualization of nerves under ultrasound-guidance have increased the use of peripheral nerve blocks. The axillary nerve blockade which is the most frequently used approach in brachial plexus blockade, is an effective and a reliable peripheral nerve blockade. Up to, there are numerous studies regarding the appropriate dose, volume and concentration of local anesthetics, as well as different approaches of axillary plexus blockade. In the present article, the authors aimed to revise the studies in light of the recent literature.