Abstract

RODRIGUEZ CASAS, Ernesto; GARCIA GARCIA, Edwin; ECHAZABAL MARTINEZ, Joel  and  ROSA DIAZ, Jorge. Empleo del neuroestimulador KWD 80811 para el bloqueo del plexo braquial por vía axilar. Rev cuba anestesiol reanim [online]. 2010, vol.9, n.1, pp. 32-38. ISSN 1726-6718.

Introduction: Anesthesia of brachial plexus by axillary route is a frequent surgical procedure for upper extremity; availability of a neurostimulator to identify structures to be blockaded offer many advantages. Objectives: To assess the effectiveness of blockade by this route using the KWD90811 neurostimulator. Material and Methods: A prospective, longitudinal and descriptive study was conducted in 100 adult patients of both sexes, ASA I-III programmed for hand, forearm and inferior third of the arm surgery in "Dr. Carlos J. Finlay" University Hospital from January to September, 2008. Above mentioned neurostimulator was used to detect of brachial plexus and the technique used for blockade was the Burnham's perivascular one. As local anesthesia 1% lidocaine was used (7 mg /kg/bw) associated with adrenaline 1: 200.000. Results: There was an average latency period of 19.2 min; quality of surgical anesthesia was excellent in 93% of cases and poor in 1% with an only one complication without interference in the procedure and sequelae for patient. Conclusions: This technique is a high performance alternative suitable for patient and with a very low rate of complications.

Keywords : Neurostimulator; brachial plexus anesthetic blockade.

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