Meier G, Maurer H, Bauereis C
Abteilung für Anästhesie und Schmerztherapie, Rheumazentrum Oberammergau.
Anaesthesist. 2003 Jun;52(6):535-9. doi: 10.1007/s00101-003-0512-0.
The axillary brachial plexus block is a very safe, but sometimes unreliable technique for anaesthesia of the upper extremities. Alternative methods like the infraclavicular block offer a higher success rate, but also the possibility of severe complications. We suggest a modified axillary technique with an injection site medial to the artery, evaluated by clinical experience and anatomical investigations, which could solve the problem of high failure rate, especially in the area of the radial nerve while still maintaining patient safety.
腋路臂丛神经阻滞是一种用于上肢麻醉的非常安全但有时不可靠的技术。锁骨下阻滞等替代方法成功率更高,但也有发生严重并发症的可能。我们建议采用一种改良的腋路技术,即在动脉内侧的注射部位进行注射,这是通过临床经验和解剖学研究评估得出的,该技术可以解决高失败率的问题,尤其是在桡神经区域,同时仍能保证患者安全。