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British Journal of Anaesthesia, 2001, Vol. 86, No. 1 80-83
© 2001 The Board of Management and Trustees of the British Journal of Anaesthesia

Comparison of two neurostimulation techniques for axillary brachial plexus blockade

D. M. Coventry*, K. F. Barker and M. Thomson

Department of Anaesthetics, Ninewells Hospital and Medical School, Dundee DD1 9SY, UK*Corresponding author

This prospective, randomized, double-blind study compared two techniques of axillary brachial plexus block using a peripheral nerve stimulator. Both groups received initial musculocutaneous nerve block followed by either a single injection on median nerve stimulation (group 1) or a double injection divided between median and radial nerves (group 2). All 60 patients received a total of 30 ml of lidocaine 15 mg/ml with epinephrine 5 µg/ml. Complete sensory blockade of all six peripheral nerves occurred in 53% and 97% of patients in groups 1 and 2, respectively (P<0.001), with a more rapid onset of blockade occurring in group 2 patients (P<0.001). Complete motor blockade was evident in 30% and 83% of patients in groups 1 and 2, respectively (P<0.001).

Br J Anaesth 2001; 86: 80–3


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