Basile P G, De Vita M
Ospedale Civile di Soverato, Regione Calabria, USL n. 20.
Minerva Anestesiol. 1992 Nov;58(11):1227-30.
The aim of this study was to evaluate the utility of the brachial plexus block using an axillary route employing the technique in which the needle is inserted into the sheath at an angle parallel to the neuro-vascular bundle with a sole modification: using a G22 spinal needle and without evoking paresthesia. The results obtained show that this method ensures an improved and more widespread analgesia. The flexibility and small size of the G22 spinal needle allow traumas to the axillary guaina and brachial plexus to be reduced to a minimum. In addition its length enables the anesthetic solution to be diffused around the first rib, including the axillary and musculo-cutaneous nerves, thus ensuring e total sensory and motor block of the upper limb.
本研究的目的是评估采用腋路臂丛神经阻滞技术的效用，该技术是将针以与神经血管束平行的角度插入鞘内，仅做一处修改：使用G22脊髓穿刺针且不诱发异感。所获得的结果表明，这种方法可确保更好且更广泛的镇痛效果。G22脊髓穿刺针的柔韧性和小尺寸可将对腋鞘和臂丛神经的损伤降至最低。此外，其长度能使麻醉溶液在第一肋骨周围扩散，包括腋神经和肌皮神经，从而确保上肢完全的感觉和运动阻滞。
