Enter your Email address:
Wolters Kluwer Health may email you for journal alerts and information, but is committed
to maintaining your privacy and will not share your personal information without
You currently have no recent searches
Koscielniak-Nielsen, Zbigniew J. MD, PhD, FRCA
Section Editor(s): Saidman, Lawrence
Orthopaedic Anaesthesia Unit; Rigshospital; Copenhagen; Denmark; firstname.lastname@example.org
Fuzier et al. (1) recently compared double-injection axillary brachial plexus block with midhumeral block for emergency surgery of the upper arm. They define secondary block effectiveness as a surgical analgesia after supplementary blocks, and report 100% secondary block effectiveness in both groups. However, their Table 2 showed 93% effectiveness in the axillary block group (80% successful primary block and 13% supplemented) and 98% effectiveness in the midhumoral group (91% successful primary block and 7% supplemented). It is not clear why these numbers do not add up to 100%.
It is also unclear why the authors concluded that a double-injection axillary block was superior to a midhumeral block. More axillary blocks needed supplementary blocks. Analgesia of the musculocutaneous nerve was significantly poorer with axillary blocks. The onset time was similar. The only advantage of axillary block was patients’ shorter performance time and higher block tolerance. As shown by Kinirons et al., (2) discomfort during block placement can be reduced with sedation.
Zbigniew J. Koscielniak-Nielsen, MD, PhD, FRCA
Orthopaedic Anaesthesia Unit
© 2007 International Anesthesia Research Society
Colleague's E-mail is Invalid
Your Name: (optional)
Separate multiple e-mails with a (;).
Thought you might appreciate this item(s) I saw at Anesthesia & Analgesia.
Send a copy to your email
Your message has been successfully sent to your colleague.
Some error has occurred while processing your request. Please try after some time.
An Existing Folder
A New Folder
The item(s) has been successfully added to "".
Login with your LWW Journals username and password.
Username or Email:
Need to Activate a New Subscription?Recently purchased a subscription? Login or Register a new account
and enter your subscription ID, or Subscribe Now!
Become a Society Member
Enter and submit the email address you registered with. An email with instructions to reset your password will be sent to that address.
Link to reset your password has been sent to specified email address.
What does "Remember me" mean?
By checking this box, you'll stay logged in for
days or until you logout. You'll get easier access to your articles, collections,
media, and all your other content, even if you close your browser or shut down your
To protect your most sensitive data and activities (like changing your password),
we'll ask you to re-enter your password when you access these services.
What if I'm on a computer that I share with others?
If you're using a public computer or you share this computer with others, we recommend
that you uncheck the "Remember me" box.
Save my selection