> To get round the embargo, I have started blocking the nerves around the
> elbow. So far, 2 cases, 2 good results. Despite this, I remain to have
> doubts about the technique. The only times I have used cubital blocks in
> the past was to top up inadequate axillary blocks.
>
> The is very little literature and not a lot in the text books (for
> obvious reasons).
>
> Can anyone help me with their experiences of this technique?
>
> --
> Stephen Hughes
>
>
Most of the stuff written is in the older anaesthetic literature. I used to do loads of axillary blocks, but got fed up with
poor coverage of the radial nerve (it lies posterior to the axillary artery in the axilla, of course) and the recommended
techniques of either transfixing the axillary artery or trying to pull it away were in the first instance worrying and in
the second instance useless. Hence you end up trying to block it at the elbow. As long as you know the anatomy
and avoid the artery when aiming for the ulnar nerve it's ok. But it's still a fiddle. The best way to learn is to spend a
few sessions in the pain clinic and learn to use the combined needle and nerve stimulator.
Best wishes,
Rowley Cottingham
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http://www.emergencyunit.com
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