Techniques in Regional Anesthesia & Pain Management
Volume 10, Issue 3 , Pages 115-122 , July 2006

Brachial plexus terminal nerve block in the humeral canal (“midhumeral block”)

  • Carlos Gross, MD

      Affiliations

    • Corresponding Author InformationAddress reprint requests and correspondence: Carlos Gross, MD, Sanatorio Allende, Hipólito Yrigoyen 384, 5000 Córdoba, Argentina.
    • ,
  • Fabián Astore, MD

References 

  1. Gentili ME, Enel D, Estebe JP. Old stamps: an ancestor of midhumeral block. Reg Anesth Pain Med. 2001;26:595
  2. Dupré LJ. Blocs des branches du plexus brachial au canal huméral. Ann Fr Anesth Reanim. 1992;11S:R42
  3. Bouaziz H, Narchi P, Mercier FJ, et al. The use of a selective axillary nerve block for outpatient hand surgery. Anesth Analg. 1998;86:746–748
  4. Bouaziz H, Narchi P, Mercier F, et al. Comparison between conventional axillary block and a new approach at midhumeral level. Anesth Analg. 1997;84:1058–1062
  5. Carles M, Pulcini A, Macchi P, et al. An evaluation of the brachial plexus block at the humeral canal using a neurostimulator (1417 patients): the efficacy, safety, and predictive criteria of failure. Anesth Analg. 2001;92:194–198
  6. Dupré LJ. Bloc du plexus brachial au canal huméral. Cahiers d′Anesthésiologie. 1994;42:767–769
  7. Frizelle HP. Technical note: the humeral canal approach to the brachial plexus. Yale J Biol Med. 1998;71:585–589
  8. Gaertner E, Kern O, Mahoudeau G, et al. Block of the brachial plexus branches by the humeral route. Prospective study in 503 ambulatory patients. Proposal of nerve blocking sequence. Acta Anaesthesiol Scand. 1999;43:609–613
  9. Dupré LJ. Bloc des branches au canal huméral (Blocs périphériques du membre supérieur chez l′adulte). In:  Bonnet F,  Eledjam JJ editor. En Actualité en Anesthésie Locorégionale. Paris: Arnette-Blackwell; 1995;p. 176–178
  10. Kinirons B, Bouaziz H, Paqueron X, et al. Sedation with Sufentanil and Midazolam decreases pain undergoing upper limb surgery under multiple nerve blocs. Anesth Analg. 2000;90:1118–1121
  11. Rouvière H. Región braquial anterior (Anatomía topográfica del miembro superior, in Anatomía Humana). In: Topográfica y Descriptiva. Madrid: Bailly Bailliere, Madrid; 1930;p. 203–207
  12. Sia S, Lepri A, Campolo MC, Fiaschi R. Four-injection brachial plexus block using peripheral nerve stimulator: a comparison between axillary and humeral approaches. Anesth Analg. 2002;95:1075–1079
  13. Dupré LJ. Neuroestimulateur en anesthésie loco-régionaleCahiers d′Anesth. siologie. 1992;40:503–510
  14. Eledjam JJ. Président ≪ Les blocs périphériques chez l′adulte ≫ Recommendations pour la Pratique Clinique 43°Congrès National d′Anesthésie et Réanimation Societé Française d′Anesthésie et de Réanimation. 2001;
  15. Paqueron X, Boccara G, Bendahou M, Coriat P. Brachial plexus block exhibits prolonged duration in the elderly. Anesthesiology. 2002;97:1945–1949
  16. Frizelle HP, Moriartry DC, Bouaziz H, Benhamou D. The “midhumeral” approach to the brachial plexus. Anesth Analg. 1998;86:447–448
  17. Franckhauser D. Technique basse de Dupré (au tiers moyen du bras ou au canal huméral). In:  Gauthier-Lafaye P,  Muller A editor. Anesthésie régionale du membre supérieur. 1996;p. 158;Anesthésie Loco-Régionale et Traitement de la Douleur. Masson
  18. Lang SA. The art and science of using a peripheral nerve stimulator: how close is close enough?. Reg Anesth Pain Med. 2002;27:330
  19. Deschodt J. L’abord au canal huméral (Blocs nerveux périphériques). In:  D’Athis F editors. Anesthésie Locorégionale. Paris: Masson; 1995;p. 61–62
  20. Iskandar H, Guillaume E, Dixmérias F, et al. The enhancement of sensory blockade by clonidine selectively added to mepivacaine after midhumeral block. Anesth Analg. 2001;93:771–775
  21. Guntz E, Herman P, Delbos A, Sosnowski M. The radial nerve should be blocked before the ulnar nerve during a brachial plexus block at the humeral canal. Can J Anaesth. 2004;51:354–357
  22. Chassard D, Berrada K, Boulétreau P. Alcalinisations des anesthésiques locaux théoriquement justifiée mais inutil cliniquement. Can J Anaesth. 1996;43:384–393
  23. Lambert D. Clinical value of adding sodium bicarbonate to local anesthetics (Letter to the Editor). Reg Anesth Pain Med. 2002;27:328
  24. Gormley WP, Hill DA, Murray JM, Fee JP. The effect of alkalinisation of lignocaine on axillary brachial anaesthesia. Anaesthesia. 1996;51:185–188
  25. Chow M, Sia A, Koay C, Chan YW. Alkalinisation of lidocaine does not hasten the onset of axillary brachial plexus block. Anesth Analg. 1998;86:566–568
  26. Ould-Ahmed M, Drouillard I, Fourel D, et al. Convulsions induced by ropivacaine after midhumeral block. Ann Fr Anesth Reanim. 2002;21:681–684
  27. Murphy D, McCartney C, Chan V. Novel analgesic adjuncts for brachial plexus block: a systematic review. Anesth Analg. 2000;90:1122–1128
  28. Koscielniak-Nielsen Z, Rasmussen H, Nielsen P. Patient′s perception of pain during axillary and humeral block using multiple nerve stimulations. Reg Anesth Pain Med. 2004;29:328–332
  29. Ben David B, Stahl C. Axillary block complicated by hematoma and radial nerve injury. Reg Anesth Pain Med. 1999;24:264–266
  30. White PF, Smith I. Patient selection and anesthetic techniques for ambulatory surgery. ASA Refresher Courses Anesthesiol. 1995;23:260–272
  31. Leon A, Moreno E, Gonzalez C, et al. A incidence and clinical course of pneumothorax after supraclavicular brachial plexus block. Reg Anesth Pain Med. 2003;28:A67
  32. Bouaziz H, Jochum D. Blocs pléxiques et tronculaires du membre supérieur, in Conférences d′actualisation, 41ème Congrès national d′Anesthésie et de Réanimation. In: Paris: Elsevier; 1999;p. 241–265

PII: S1084-208X(06)00045-0

doi: 10.1053/j.trap.2006.07.004

Techniques in Regional Anesthesia & Pain Management
Volume 10, Issue 3 , Pages 115-122 , July 2006

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