RAEducation » brachial plexus http://www.raeducation.com Regional Anesthesia Education...and Discussion Tue, 06 Apr 2010 12:21:26 +0000 http://wordpress.org/?v=2.9.2 en hourly 1 Clinical efficacy of the brachial plexus block via the posterior approach. http://www.raeducation.com/2009/04/clinical-efficacy-of-the-brachial-plexus-block-via-the-posterior-approach/ http://www.raeducation.com/2009/04/clinical-efficacy-of-the-brachial-plexus-block-via-the-posterior-approach/#comments Mon, 13 Apr 2009 22:00:00 +0000 admin PubMed:16418037 Related Articles

Clinical efficacy of the brachial plexus block via the posterior approach.

Reg Anesth Pain Med. 2006 Jan-Feb;31(1):90

Authors: Boezaart AP

PMID: 16418037 [PubMed - indexed for MEDLINE]

No related posts. Related posts brought to you by Yet Another Related Posts Plugin.]]> Related Articles

Clinical efficacy of the brachial plexus block via the posterior approach.

Reg Anesth Pain Med. 2006 Jan-Feb;31(1):90

Authors: Boezaart AP

PMID: 16418037 [PubMed - indexed for MEDLINE]

No related posts.

Related posts brought to you by Yet Another Related Posts Plugin.

]]> http://www.raeducation.com/2009/04/clinical-efficacy-of-the-brachial-plexus-block-via-the-posterior-approach/feed/ 0 Poll: Brachial Plexus Asymmetry http://www.raeducation.com/2009/04/poll-brachial-plexus-asymmetry/ http://www.raeducation.com/2009/04/poll-brachial-plexus-asymmetry/#comments Wed, 01 Apr 2009 23:08:53 +0000 admin https://www.anest.ufl.edu/gator-rap/?p=417 Yet Another Related Posts Plugin.]]> Today we’re demoing a new polling feature on Gator-RAP. The poll is anonymous, so please venture your answer!

[poll id="2"]

No related posts.

Related posts brought to you by Yet Another Related Posts Plugin.

]]> http://www.raeducation.com/2009/04/poll-brachial-plexus-asymmetry/feed/ 1 A&A: The Efficacy of Skin Temperature for Block Assessment After Infraclavicular Brachial Plexus Block. http://www.raeducation.com/2009/03/aa-the-efficacy-of-skin-temperature-for-block-assessment-after-infraclavicular-brachial-plexus-block/ http://www.raeducation.com/2009/03/aa-the-efficacy-of-skin-temperature-for-block-assessment-after-infraclavicular-brachial-plexus-block/#comments Fri, 27 Mar 2009 18:52:09 +0000 admin https://www.anest.ufl.edu/gator-rap/?p=375 1 degree C change in temperature. In failed blocks, no temperatures increased [...] No related posts. Related posts brought to you by Yet Another Related Posts Plugin.]]> In summary, the Minville et al used an infrared “temp gun” to measure changes in skin temp following upper extremity nerve block. Increases in temperature correlated with successful nerve block with good PPV, sensitivity and specificity. NPV was 25% at 10min for a >1 degree C change in temperature. In failed blocks, no temperatures increased more than 0.5 degree celsius from baseline at >5min. (As an aside, Googling “temp gun” reveals many reasonably-priced devices!)

A couple of interesting points. First, I think this would be great for pediatric blocks, where anesthesiologists would like to know how much opioid (if any) to titrate in prior to emergence in patients receiving a block. Would also be worth repeating for blocks such as the ilioinguinal/hypogastic/TAP block in children.

Our practice commonly involves the use of intravenous anxiolytics/analgesics during block placement, especially for the more invasive perineural catheters. I don’t see that the authors used any IV agents, only skin local. How might this affect skin temperature change?

Ovid: The Efficacy of Skin Temperature for Block Assessment After Infraclavicular Brachial Plexus Block..

No related posts.

Related posts brought to you by Yet Another Related Posts Plugin.

]]> http://www.raeducation.com/2009/03/aa-the-efficacy-of-skin-temperature-for-block-assessment-after-infraclavicular-brachial-plexus-block/feed/ 0 Buprenorphine added to the local anesthetic for brachial plexus block to provide postoperative analgesia in outpatients…[Reg Anesth Pain Med. 2001 Jul-Aug] – PubMed Result http://www.raeducation.com/2009/01/buprenorphine-added-to-the-local-anesthetic-for-brachial-plexus-block-to-provide-postoperative-analgesia-in-outpatientsreg-anesth-pain-med-2001-jul-aug-pubmed-result/ http://www.raeducation.com/2009/01/buprenorphine-added-to-the-local-anesthetic-for-brachial-plexus-block-to-provide-postoperative-analgesia-in-outpatientsreg-anesth-pain-med-2001-jul-aug-pubmed-result/#comments Thu, 15 Jan 2009 14:51:13 +0000 admin https://www.anest.ufl.edu/gator-rap/?p=268 Yet Another Related Posts Plugin.]]> More data supporting buprenorphine as an adjunct in prolonging the analgesic effect of peripheral nerve block.

Buprenorphine added to the local anesthetic for br…[Reg Anesth Pain Med. 2001 Jul-Aug] – PubMed Result
.

No related posts.

Related posts brought to you by Yet Another Related Posts Plugin.

]]> http://www.raeducation.com/2009/01/buprenorphine-added-to-the-local-anesthetic-for-brachial-plexus-block-to-provide-postoperative-analgesia-in-outpatientsreg-anesth-pain-med-2001-jul-aug-pubmed-result/feed/ 0 Buprenorphine added to the local anesthetic for axillary brachial plexus block prolongs postoperative analgesia http://www.raeducation.com/2009/01/buprenorphine-added-to-the-local-anesthetic-for-axillary-brachial-plexus-block-prolongs-postoperative-analgesia/ http://www.raeducation.com/2009/01/buprenorphine-added-to-the-local-anesthetic-for-axillary-brachial-plexus-block-prolongs-postoperative-analgesia/#comments Thu, 15 Jan 2009 14:48:49 +0000 admin https://www.anest.ufl.edu/gator-rap/?p=266 Yet Another Related Posts Plugin.]]> From RAPM, Volume 27, Issue 2, Pages 162-167 (March 2002)

 

Very nice study with very significant results. This was a very significant increase in post-operative analgesia. 

Buprenorphine added to the local anesthetic for axillary brachial plexus block prolongs postoperative analgesia.

No related posts.

Related posts brought to you by Yet Another Related Posts Plugin.

]]> http://www.raeducation.com/2009/01/buprenorphine-added-to-the-local-anesthetic-for-axillary-brachial-plexus-block-prolongs-postoperative-analgesia/feed/ 2