Axillary brachial plexus block: smaller volume; higher level

ABSTRACT

Fifty patients were scheduled for upper limb surgery above the elbow. Axillary brachial plexus block, using a catheter inserted high in the axilla with arm abducted and a firm digital pressure at the residual side of the arm, enable a high insertion of the catheter and a more central spread of the injected local anesthetic. Radiological and clinical evaluation of the technique was done. The small volume of the injected drug and a high block level obtained were discussed