The site of Separation of Musculocutaneous Nerve from Axillary Brachial Plexus: Analysis using Ultrasound-Observational Volunteer Study
Journal Title: Asian Journal of Pharmaceutical Research and Health Care - Year 2018, Vol 10, Issue 2
Abstract
The axillary approach to brachial plexus blockade provides satisfactory anesthesia for the elbow, forearm, and hand surgeries. The use of ultrasound enhances the success of such blocks. The major issue in such a block is the anatomical variation of the musculocutaneous nerve and its possible sparing. The unblocked lateral superficial tissues of the forearm and the problem of tourniquet pain will come up if it’s spared. Hence in our study, we wanted to locate the site of separation of the nerve. In eighty young healthy male volunteers, the scan of the right axillary area showed that the separation was proximal (point C) in 34% of cases to the classically described site (point A) of combined visualization of conjoint tendon and axillary artery. It was found separating distally (point B) in 59 % of cases. The distance was maximal in the proximal group with 44 mm and in the distal group of 35 mm. It was absent in one individual. With such a large variation in anatomy, it is necessary to identify the musculocutaneous nerve separately and block it for a successful anesthetic journey in axillary approach to blocking brachial plexus
Authors and Affiliations
Balasubramanian Anusha, G. Jayaraman, S. Parthasarathy
Keywords
Related Articles
- EP ID EP369856
- DOI 10.18311/ajprhc/2018/21525
- Views 83
- Downloads 0
Knowledge and Awareness Regarding Mental Health and Barriers to Seeking Psychiatric Consultation in Saudi Arabia
The Middle Eastern region, in general and Saudi Arabia, in specific, suffers from a large burden of mental illness. People’s positive attitudes and correct perceptions towards mental illness and their willingness to seek...
The Antidiabetic and Antioxidant Effects of Carotenoids: A Review
Carotenoids are a big group of phytochemicals that have a wide variety of protective and medical properties. They are widespread in plants and photosynthetic bacteria and have many medical functions. Here in this article...
Leadership and Task Shifting to Address the Challenges of Antimicrobial Resistance in South Africa
Antimicrobial resistance is a complex problem interconnected with many factors, such as overuse and misuse of antimicrobials across the world, especially in Low- and Middle-Income Countries (LMICs). To overcome this, the...
The Major Molecular Causes of Familial Hypercholesterolemia
Familial Hypercholesterolemia (FH) is a common dominant disorder of cholesterol metabolism characterized by elevated serum cholesterol level which results in increased risk of many diseases. The major cause of FH is the...
Real-Time Telemedical Health Care Systems with Wearable Sensors
The time between detection and response to chronic diseases could go a long way in saving lives. The current trend in health monitoring systems is to move from the hospital-centered device to eventually portable personal...