{"id":167,"date":"2014-10-30T19:50:00","date_gmt":"2014-10-30T19:50:00","guid":{"rendered":"http:\/\/www.euroespa.com\/?page_id=167"},"modified":"2023-06-20T10:13:43","modified_gmt":"2023-06-20T08:13:43","slug":"axillary","status":"publish","type":"page","link":"https:\/\/www.euroespa.com\/science-education\/specialized-sections\/espa-pain-committee\/us-regional-anaesthesia\/upper-limb\/axillary\/","title":{"rendered":"Axillary"},"content":{"rendered":"<p><strong>AXILLARY BLOCK<\/strong><br \/><em><strong>Author: Valeria Mossetti<\/strong><\/em><\/p>\n<p>1. Indications<br \/>Axillary block provides anesthesia and analgesia for surgery on forearm and hand.<br \/>For extensive elbow surgery consider more proximal technique.<\/p>\n<p>2. Contraindications<br \/>Local infection<\/p>\n<p>3. Anatomy<br \/>In the axilla, the terminal branches of the brachial plexus (ulnar, median, and radial<br \/>nerves) meet near the artery. The musculocutaneus nerve, however, branches off<br \/>more proximally from the plexus cords and proceeds from there dorsally and<br \/>cranially while remaining near the plexus in the axillary region.<\/p>\n<p>4. Technique<br \/>The patient is positioned as for a&nbsp;classical axillary approach, i.e. supine with the arm<br \/>abducted at 90\u00b0C and the forearm flexed.<br \/>Use a&nbsp;linear high-frequency probe with 10 or 12 MHz. For smaller patients, if<br \/>possible, use a&nbsp;small footprint linear probe (25 mm). If required, identify the nerves<br \/>using the nerve stimulator: common response to neurostimulator is the hand and<br \/>fingers contraction.<br \/>Place the probe perpendicularly on the arm as close to the axilla as possible in the<br \/>hollow formed between the biceps and the pectoralis muscle so that the plexus can<br \/>be scanned transversely&#8230;<\/p>\n<p><a href=\"ttp:\/\/www.euroespa.com\/wp-content\/uploads\/2014\/10\/AXILLARY-BLOCK_ESPA.pdf\">Please click here for the full article.<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>AXILLARY BLOCKAuthor: Valeria Mossetti 1. IndicationsAxillary block provides anesthesia and analgesia for surgery on forearm and hand.For extensive elbow surgery&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":162,"menu_order":4,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_searchwp_excluded":"","footnotes":""},"class_list":["post-167","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.euroespa.com\/api\/wp\/v2\/pages\/167","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.euroespa.com\/api\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.euroespa.com\/api\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.euroespa.com\/api\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.euroespa.com\/api\/wp\/v2\/comments?post=167"}],"version-history":[{"count":2,"href":"https:\/\/www.euroespa.com\/api\/wp\/v2\/pages\/167\/revisions"}],"predecessor-version":[{"id":7148,"href":"https:\/\/www.euroespa.com\/api\/wp\/v2\/pages\/167\/revisions\/7148"}],"up":[{"embeddable":true,"href":"https:\/\/www.euroespa.com\/api\/wp\/v2\/pages\/162"}],"wp:attachment":[{"href":"https:\/\/www.euroespa.com\/api\/wp\/v2\/media?parent=167"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}