Evaluation of brachial plexus fascicles involvement on infraclavicular block: unfixed cadaver study
BACKGROUND AND OBJECTIVES: This study shows how the diffusion of the anesthetic into the sheath occurs through the axillary infraclavicular space and hence proves the efficacy of the anesthetic block of the brachial plexus, and may thereby allow a consolidation of this pathway, with fewer complicati...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Sociedade Brasileira de Anestesiologia
2015-06-01
|
| Series: | Revista Brasileira de Anestesiologia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942015000300213&lng=en&tlng=en |
| _version_ | 1819243607695032320 |
|---|---|
| author | Luiz Carlos Buarque de Gusmão Jacqueline Silva Brito Lima Jeane da Rosa Oiticica Ramalho Amanda Lira dos Santos Leite Alberson Maylson Ramos da Silva |
| author_facet | Luiz Carlos Buarque de Gusmão Jacqueline Silva Brito Lima Jeane da Rosa Oiticica Ramalho Amanda Lira dos Santos Leite Alberson Maylson Ramos da Silva |
| author_sort | Luiz Carlos Buarque de Gusmão |
| collection | DOAJ |
| description | BACKGROUND AND OBJECTIVES: This study shows how the diffusion of the anesthetic into the sheath occurs through the axillary infraclavicular space and hence proves the efficacy of the anesthetic block of the brachial plexus, and may thereby allow a consolidation of this pathway, with fewer complications, previously attached to the anesthesia. MATERIALS AND METHODS: 33 armpits of adult cadavers were analyzed and unfixed. We injected a solution of neoprene with latex dye in the infraclavicular space, based on the technique advocated by Gusmão et al., and put the corpses in refrigerators for three weeks. Subsequently, the specimens were thawed and dissected, exposing the axillary sheath along its entire length. RESULTS AND DISCUSSION: Was demonstrated involvement of all fasciculus of the plexus in 51.46%. In partial involvement was 30.30%, 18.24% of cases the acrylic was located outside the auxiliary sheath involving no issue. CONCLUSIONS: The results allow us to establish the infraclavicular as an effective and easy way to access plexus brachial, because the solution involved the fascicles in 81.76% partially or totally, when it was injected inside the axillary sheath. We believe that only the use of this pathway access in practice it may demonstrate the efficiency. |
| first_indexed | 2024-12-23T14:58:23Z |
| format | Article |
| id | doaj.art-0cb76fab0bdf4d338efdf35cdcbdfa76 |
| institution | Directory Open Access Journal |
| issn | 1806-907X |
| language | English |
| last_indexed | 2024-12-23T14:58:23Z |
| publishDate | 2015-06-01 |
| publisher | Sociedade Brasileira de Anestesiologia |
| record_format | Article |
| series | Revista Brasileira de Anestesiologia |
| spelling | doaj.art-0cb76fab0bdf4d338efdf35cdcbdfa762022-12-21T17:42:42ZengSociedade Brasileira de AnestesiologiaRevista Brasileira de Anestesiologia1806-907X2015-06-0165321321710.1016/j.bjane.2014.06.010S0034-70942015000300213Evaluation of brachial plexus fascicles involvement on infraclavicular block: unfixed cadaver studyLuiz Carlos Buarque de GusmãoJacqueline Silva Brito LimaJeane da Rosa Oiticica RamalhoAmanda Lira dos Santos LeiteAlberson Maylson Ramos da SilvaBACKGROUND AND OBJECTIVES: This study shows how the diffusion of the anesthetic into the sheath occurs through the axillary infraclavicular space and hence proves the efficacy of the anesthetic block of the brachial plexus, and may thereby allow a consolidation of this pathway, with fewer complications, previously attached to the anesthesia. MATERIALS AND METHODS: 33 armpits of adult cadavers were analyzed and unfixed. We injected a solution of neoprene with latex dye in the infraclavicular space, based on the technique advocated by Gusmão et al., and put the corpses in refrigerators for three weeks. Subsequently, the specimens were thawed and dissected, exposing the axillary sheath along its entire length. RESULTS AND DISCUSSION: Was demonstrated involvement of all fasciculus of the plexus in 51.46%. In partial involvement was 30.30%, 18.24% of cases the acrylic was located outside the auxiliary sheath involving no issue. CONCLUSIONS: The results allow us to establish the infraclavicular as an effective and easy way to access plexus brachial, because the solution involved the fascicles in 81.76% partially or totally, when it was injected inside the axillary sheath. We believe that only the use of this pathway access in practice it may demonstrate the efficiency.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942015000300213&lng=en&tlng=enAnestesia regionalPlexo braquialBloqueo infraclavicular |
| spellingShingle | Luiz Carlos Buarque de Gusmão Jacqueline Silva Brito Lima Jeane da Rosa Oiticica Ramalho Amanda Lira dos Santos Leite Alberson Maylson Ramos da Silva Evaluation of brachial plexus fascicles involvement on infraclavicular block: unfixed cadaver study Revista Brasileira de Anestesiologia Anestesia regional Plexo braquial Bloqueo infraclavicular |
| title | Evaluation of brachial plexus fascicles involvement on infraclavicular block: unfixed cadaver study |
| title_full | Evaluation of brachial plexus fascicles involvement on infraclavicular block: unfixed cadaver study |
| title_fullStr | Evaluation of brachial plexus fascicles involvement on infraclavicular block: unfixed cadaver study |
| title_full_unstemmed | Evaluation of brachial plexus fascicles involvement on infraclavicular block: unfixed cadaver study |
| title_short | Evaluation of brachial plexus fascicles involvement on infraclavicular block: unfixed cadaver study |
| title_sort | evaluation of brachial plexus fascicles involvement on infraclavicular block unfixed cadaver study |
| topic | Anestesia regional Plexo braquial Bloqueo infraclavicular |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942015000300213&lng=en&tlng=en |
| work_keys_str_mv | AT luizcarlosbuarquedegusmao evaluationofbrachialplexusfasciclesinvolvementoninfraclavicularblockunfixedcadaverstudy AT jacquelinesilvabritolima evaluationofbrachialplexusfasciclesinvolvementoninfraclavicularblockunfixedcadaverstudy AT jeanedarosaoiticicaramalho evaluationofbrachialplexusfasciclesinvolvementoninfraclavicularblockunfixedcadaverstudy AT amandaliradossantosleite evaluationofbrachialplexusfasciclesinvolvementoninfraclavicularblockunfixedcadaverstudy AT albersonmaylsonramosdasilva evaluationofbrachialplexusfasciclesinvolvementoninfraclavicularblockunfixedcadaverstudy |