Application of axillary brachial plexus block on hand surgery

Objective To assess the method and efficacy of axillary brachial plexus blockage in hand surgery.Methods The patient's upper extremity was abducted to 80 degree.When the pulses of arterial brachial were touched at the upper 1/3 of the upper extremity,local anesthetic was used in multipoint injection to keep blocking four terminal nerves.After the effect of anesthetic is obtained,we observed and recorded the achievement times of sensory and motor block,analgesia effect,duration of anaesthesia and incidence rate of complications.Results Sensory block achievement time,motor block achievement time and analgesia duration were(9.06±3.57) mns,(14.9±4.5) mns and(268.1±31.2) mns respectively.No epidural block,subarachnoid block,recurrent laryngeal nerve block,phrenic nerve block,Horner syndrome,pneumothorax,recurrent nerve or local anesthetic poisoning occurred in our study Haemodynamics and respiratory were stable.Conclusion Axillary brachial plexus blockage is a good,easy and safe method,with fewer complications,complete blocking effect,which is suitable for surgeries below the elbow,especially for obese patients who is intensively ill and with full stomach.