Long‐term continuous axillary plexus blockade using 0.25% bupivacaine

Three patients, presenting with various traumatic, vasospastic and chronic neuromuscular disorders of the upper body, received continuous axillary block ranging from 4 to 16 days. Intermittent injections of 0.25% bupivacaine were used to provide analgesia, sympathetic blockade and muscle relaxation. No systemic or neurological side‐effects were recorded. Nerve function recovered promptly after stopping the injections. It is concluded that continuous brachial plexus blockade is a clinically safe and effective technique for the relief of acute traumatic pain and vasospastic disorders of the upper limb. The technique, its merits and possible complications are discussed.

[1]  V. Sarma.  Continuous brachial plexus blockade , 1990, Anaesthesia.

[2]  B. Randalls.  Continuous brachial plexus blockade A technique that uses an axillary catheter to allow successful skin grafting , 1990, Anaesthesia.

[3]  D. Scott.  "Maximum recommended doses" of local anaesthetic drugs. , 1989, British journal of anaesthesia.

[4]  F. Reynolds.  Adverse effects of local anaesthetics. , 1987, British journal of anaesthesia.

[5]  G. Hime,et al.  Bupivacaine blood levels during continuous interscalene block. , 1985, Anesthesiology.

[6]  R. Rosenblatt,et al.  Continuous axillary analgesia for traumatic hand injury. , 1979, Anesthesiology.

[7]  D. Moore,et al.  Convulsive arterial plasma levels of bupivacaine and the response to diazepam therapy. , 1979, Anesthesiology.

[8]  J. Nunn,et al.  Cytotoxic effects of procaine, lignocaine and bupivacaine. , 1979, British journal of anaesthesia.

[9]  V. Pallarés,et al.  Continuous brachial plexus block for prolonged sympathectomy and control of pain. , 1978, Anesthesia and analgesia.

[10]  L. Mather,et al.  Bupivacaine (Marcaine®): An Evaluation of its Tissue and Systemic Toxicity in Humans , 1977, Acta anaesthesiologica Scandinavica.

[11]  M. Bisby.  Inhibition of axonal transport in nerves chronically treated with local anesthetics , 1975, Experimental Neurology.

[12]  P. Benoit,et al.  Destruction and regeneration of skeletal muscle after treatment with a local anaesthetic, bupivacaine (Marcaine). , 1970, Journal of anatomy.

[13]  B. Sonesson,et al.  Denervation-like changes in skeletal muscle after treatment with a local anaesthetic (Marchaine). , 1970, Journal of anatomy.

[14]  Y. Oester,et al.  Nerve impulses and trophic effect. Absence of fibrillation after prolonged and reversible conduction block. , 1970, Archives of neurology.

[15]  J. A. Dekkey,et al.  Continuous brachial plexus block. , 1969 .

[16]  D. R. Buechel,et al.  Continuous brachial plexus block. , 1969, Anesthesiology.

[17]  B. Sonesson,et al.  Denervation changes produced in an innervated skeletal muscle by long-continued treatment with a local anesthetic. , 1968, European journal of pharmacology.

[18]  F. Ansbro.  A method of continuous brachial plexus block. , 1946, American journal of surgery.