Axillary block is the good anesthetic technique for upper limb surgery without exceeding a certain total dose injected of Local Anesthetic (AL). The maximal recommended dose of Lidocaine adrenaline in the upper limb is 500 mg. The use of ultrasound helps guiding the locoregional anesthesia, and allows to decrease the AL concentration, thus decreasing the risks. No previous study estimated a concentration of lidocaine lower than 1,5 % to realize upper limb surgery by axillary block. The literature overestimating probably the rate of failure of the locoregional anesthesia under ultrasound-guidance, we suggest to estimate the rate of failure of the axillary block ultrasound-guided with the lidocaine 1 % adrenaline for realizing upper limb surgery in standard practice.
Study Type
OBSERVATIONAL
Enrollment
292
Hôpital Instruction des Armées
Brest, France
CHRU de Brest
Brest, France
Centre Hospitalier Intercommunal de Cornouaille
Quimper, France
Resort to an anesthesia for help in case of ineffectiveness of the block
Yes or no Yes or No
Time frame: Day 1
Block depth
Bromage score
Time frame: Day 1
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