open access

Vol 47, No 4 (2015)
Review articles
Submitted: 2015-09-20
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Ultrasound guided axillary brachial plexus plexus block. Part 1 — basic sonoanatomy

Piotr Nowakowski, Andrzej Bieryło
DOI: 10.5603/AIT.2015.0052
·
Anaesthesiol Intensive Ther 2015;47(4):409-416.

open access

Vol 47, No 4 (2015)
Review articles
Submitted: 2015-09-20

Abstract

Axillary brachial plexus block is one of the most popular and widely used approaches for brachial plexus blocks. Its main advantages are its versatility and high safety. Brachial block facilitates analgesia for the distal arm, elbow, forearm and hand. Numerous upper limb procedures, particularly orthopedic ones, can be carried out under axillary block. Axillary block is well suited for the ultrasound-guided technique. Because the brachial plexus in the axillary region is located superficially, the nerves, block needle, and local anesthetic spread are all relatively easy to visualize. A high-frequency linear probe can be used during block procedure, so the quality and resolution of the ultrasound images are excellent. An important feature of the axillary approach is its high level of safety. In the axillary area, there are no anatomical structures other than vessels, to which damage during block placement could pose a risk for the patient. For this reason, axillary block is one of the techniques that are recommended for learning ultrasound-guided regional anesthesia. This paper summarizes anatomical fundamentals and provides basic sonoanatomic knowledge that is essential for successful ultrasound-guided axillary block.

Abstract

Axillary brachial plexus block is one of the most popular and widely used approaches for brachial plexus blocks. Its main advantages are its versatility and high safety. Brachial block facilitates analgesia for the distal arm, elbow, forearm and hand. Numerous upper limb procedures, particularly orthopedic ones, can be carried out under axillary block. Axillary block is well suited for the ultrasound-guided technique. Because the brachial plexus in the axillary region is located superficially, the nerves, block needle, and local anesthetic spread are all relatively easy to visualize. A high-frequency linear probe can be used during block procedure, so the quality and resolution of the ultrasound images are excellent. An important feature of the axillary approach is its high level of safety. In the axillary area, there are no anatomical structures other than vessels, to which damage during block placement could pose a risk for the patient. For this reason, axillary block is one of the techniques that are recommended for learning ultrasound-guided regional anesthesia. This paper summarizes anatomical fundamentals and provides basic sonoanatomic knowledge that is essential for successful ultrasound-guided axillary block.

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Keywords

regional anesthesia, peripheral nerve block, brachial plexus; regional anesthesia, peripheral nerve block, axillary block; ultrasound, sonoanatomy

About this article
Title

Ultrasound guided axillary brachial plexus plexus block. Part 1 — basic sonoanatomy

Journal

Anaesthesiology Intensive Therapy

Issue

Vol 47, No 4 (2015)

Pages

409-416

DOI

10.5603/AIT.2015.0052

Bibliographic record

Anaesthesiol Intensive Ther 2015;47(4):409-416.

Keywords

regional anesthesia
peripheral nerve block
brachial plexus
regional anesthesia
peripheral nerve block
axillary block
ultrasound
sonoanatomy

Authors

Piotr Nowakowski
Andrzej Bieryło

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