The Korean Journal of Pain
- 제10권2호
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- Pages.225-230
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- 1997
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- 2005-9159(pISSN)
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- 2093-0569(eISSN)
지속적 액와부 상완신경총 차단술 -I. 카테테르 삽입방법의 변형-
Continuous Axillary Branchial Plexus Block -I. Modification of catheter insertion method-
- Lee, Hoo-Jeon (Department of Anesthesiology, Kwang Myung Sung-Ae General Hospital) ;
- Tae, Il-San (Department of Anesthesiology, Kwang Myung Sung-Ae General Hospital)
- 발행 : 1997.11.22
초록
Background: Authors modified the traditional continuous axillary brachial plexus block technique of Selander for purpose of increasing success rate and decreasing complications by use of commercial epidural anesthesia set. Method: Thirty-nine patients scheduled for upper extremity operations were injected with 40 ml of anesthetic solution by axillary perivascular technique, using 23~25G immobile needle at 2 cm from the pectoralis major. Tuohy needle was immediately introduced at 4 cm from the pectoralis major and pierced the expanded neurovascular sheath at an angle of 30 degree to the skin. The "pop" was well noted well. Needle was advanced 0.5 to 3.0 cm and epidural catheter introduced through the needle. After removal of needle, occlusive dressing was done. Tip of catheter and spread of solution were demonstrated by fluoroscopy with contrast dye after completion of procedure. Result: Catheter insertion was successful at first attempt for all case. Total length of insertion was from 6 to 13(