Gatra A, Barrou L, Mekki-Berrada R, Akallal L, Benaguida M, Komiha A
Acta Chir Belg. 1986 Nov-Dec;86(6):344-8.
The authors report their experience about 50 cases of supra clavicular plexus block realised by Kulenkampff method. The anesthesia obtained has been complete in 84% of cases and in the 16% remaining general anesthesia was necessary to permit surgery. A case of late moderate pleural detachment and a case of post anesthesia paresthesia both spontaneously resolving were registered. Actually the adoption of perivascular techniques of brachial plexus anesthesia (interscalenic, supraclavicular, axillary) have greatly improved the performance of this variety of upper limb locoregional anesthesia, thus reducing the percentage of failure and eliminating or reducing the risk of pneumothorax. Locoregional anesthesia of the upper limb should constitute a daily method in the surgery of upper limb and not a technic subordinated to the contra-indications of general anesthesia.
作者报告了他们采用库伦坎普夫法进行50例锁骨上神经丛阻滞的经验。84%的病例麻醉效果完全，其余16%的病例需要全身麻醉才能进行手术。记录到1例迟发性中度胸膜剥脱和1例麻醉后感觉异常，二者均自行缓解。实际上，臂丛神经麻醉的血管周围技术（肌间沟法、锁骨上法、腋路法）的采用极大地改善了这种上肢局部区域麻醉的效果，从而降低了失败率，并消除或降低了气胸风险。上肢局部区域麻醉应成为上肢手术的日常方法，而不应是从属于全身麻醉禁忌证的技术。
