Evaluation of brachial plexus fascicles involvement on infraclavicular block: unfixed cadaver study
Autor(a) principal: | |
---|---|
Data de Publicação: | 2015 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Anestesiologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942015000300213 |
Resumo: | 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. |
id |
SBA-1_575f1d584fb9301cee93e251550c1abb |
---|---|
oai_identifier_str |
oai:scielo:S0034-70942015000300213 |
network_acronym_str |
SBA-1 |
network_name_str |
Revista Brasileira de Anestesiologia (Online) |
repository_id_str |
|
spelling |
Evaluation of brachial plexus fascicles involvement on infraclavicular block: unfixed cadaver studyRegional anesthesiaBrachial plexusBlock infraclavicular 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. Sociedade Brasileira de Anestesiologia2015-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942015000300213Revista Brasileira de Anestesiologia v.65 n.3 2015reponame:Revista Brasileira de Anestesiologia (Online)instname:Sociedade Brasileira de Anestesiologia (SBA)instacron:SBA10.1016/j.bjane.2014.06.010info:eu-repo/semantics/openAccessGusmão,Luiz Carlos Buarque deLima,Jacqueline Silva BritoRamalho,Jeane da Rosa OiticicaLeite,Amanda Lira dos SantosSilva,Alberson Maylson Ramos daeng2015-09-10T00:00:00Zoai:scielo:S0034-70942015000300213Revistahttps://www.sbahq.org/revista/https://old.scielo.br/oai/scielo-oai.php||sba2000@openlink.com.br1806-907X0034-7094opendoar:2015-09-10T00:00Revista Brasileira de Anestesiologia (Online) - Sociedade Brasileira de Anestesiologia (SBA)false |
dc.title.none.fl_str_mv |
Evaluation of brachial plexus fascicles involvement on infraclavicular block: unfixed cadaver study |
title |
Evaluation of brachial plexus fascicles involvement on infraclavicular block: unfixed cadaver study |
spellingShingle |
Evaluation of brachial plexus fascicles involvement on infraclavicular block: unfixed cadaver study Gusmão,Luiz Carlos Buarque de Regional anesthesia Brachial plexus Block infraclavicular |
title_short |
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_sort |
Evaluation of brachial plexus fascicles involvement on infraclavicular block: unfixed cadaver study |
author |
Gusmão,Luiz Carlos Buarque de |
author_facet |
Gusmão,Luiz Carlos Buarque de Lima,Jacqueline Silva Brito Ramalho,Jeane da Rosa Oiticica Leite,Amanda Lira dos Santos Silva,Alberson Maylson Ramos da |
author_role |
author |
author2 |
Lima,Jacqueline Silva Brito Ramalho,Jeane da Rosa Oiticica Leite,Amanda Lira dos Santos Silva,Alberson Maylson Ramos da |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Gusmão,Luiz Carlos Buarque de Lima,Jacqueline Silva Brito Ramalho,Jeane da Rosa Oiticica Leite,Amanda Lira dos Santos Silva,Alberson Maylson Ramos da |
dc.subject.por.fl_str_mv |
Regional anesthesia Brachial plexus Block infraclavicular |
topic |
Regional anesthesia Brachial plexus Block infraclavicular |
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. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942015000300213 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942015000300213 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.bjane.2014.06.010 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Anestesiologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Anestesiologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Anestesiologia v.65 n.3 2015 reponame:Revista Brasileira de Anestesiologia (Online) instname:Sociedade Brasileira de Anestesiologia (SBA) instacron:SBA |
instname_str |
Sociedade Brasileira de Anestesiologia (SBA) |
instacron_str |
SBA |
institution |
SBA |
reponame_str |
Revista Brasileira de Anestesiologia (Online) |
collection |
Revista Brasileira de Anestesiologia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Anestesiologia (Online) - Sociedade Brasileira de Anestesiologia (SBA) |
repository.mail.fl_str_mv |
||sba2000@openlink.com.br |
_version_ |
1752126628278829056 |