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  • Title: [Efficiency of secondary posterior trunk single stimulation, low volume infraclavicular plexus block for upper limb surgery].
    Author: Bloc S, Garnier T, Komly B, Leclerc P, Mercadal L, Morel B, Dhonneur G.
    Journal: Ann Fr Anesth Reanim; 2005; 24(11-12):1329-33. PubMed ID: 16115744.
    Abstract:
    OBJECTIVES: To assess the efficiency of a posterior secondary trunk single stimulation, low volume (30 ml 1.5% mepivacaine) infraclavicular brachial plexus block (ICB) technique. STUDY DESIGN: Prospective study. PATIENTS AND METHODS: One hundred consecutive patients scheduled for hand, forearm or elbow surgery were included. ICB was placed using a single stimulation technique. 30 ml 1.5% mepivacaine was injected when an evoked distal radial motor type response was elicited for 0.3-0.6 mA intensity current. Based upon both sensory and motor distribution ICB, characteristics and performance were assessed. RESULTS: No patient required general anesthesia conversion. Success rate was 92%. 8 patients required a total amount of 10 complementary distal troncular blocks. No specific complication of ICB technique was accoutered. All patients completed full neurological recovery from ICB 24 hours after surgery. CONCLUSION: 30 ml mepivacaine 1.5% ICB is suitable for upper limb surgery.
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