Axillary Block
Conditions
Keywords
Axillary Block, LidocaÏne 1% adrenaliné
Brief summary
Axillary block is the good anesthetic technique for upper limb surgery without exceeding a certain total dose injected of Local Anesthetic (AL). The maximal recommended dose of Lidocaine adrenaline in the upper limb is 500 mg. The use of ultrasound helps guiding the locoregional anesthesia, and allows to decrease the AL concentration, thus decreasing the risks. No previous study estimated a concentration of lidocaine lower than 1,5 % to realize upper limb surgery by axillary block. The literature overestimating probably the rate of failure of the locoregional anesthesia under ultrasound-guidance, we suggest to estimate the rate of failure of the axillary block ultrasound-guided with the lidocaine 1 % adrenaline for realizing upper limb surgery in standard practice.
Interventions
None listed
Sponsors
University Hospital, Brest
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients operated for the upper limb under block axillaire * Adult * non-opposition
Exclusion criteria
* medical advice to realize axillary block * medical advice to local anaesthetic * Allergy * Pregnant * ASA 3 or more
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Resort to an anesthesia for help in case of ineffectiveness of the block | Day 1 | Yes or no Yes or No |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Block depth | Day 1 | Bromage score |
Other
| Measure | Time frame | Description |
|---|---|---|
| Time of Block | Day 1 | Minutes |
| Total dose of Lidocaïne adrenaline used | Day 1 | mg |
| Patient satisfaction | Day 1 | questionnaire score |
Countries
France
Outcome results
None listed