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Indications / Contraindications / Side effects

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Indications

All procedures on the elbow, forearm and hand.

 

Contraindications

There are no specific contraindications for the axillary block of the brachial plexus. The general contraindications apply that will be summarised at the end of this chapter.

 

Side effects/complications

There are no specific side effects of the axillary block of the brachial plexus. The general side effects apply that will be summarised at the end of this chapter.

 

Summary

Advantages of axillary brachial plexus block The method is simple and low-risk and can be performed with or without the nerve stimulator. Disadvantages of axillary brachial plexus block A high upper arm tourniquet may be poorly tolerated because the medial upper arm is supplied by the intercostobrachialis nerves (Th2) and the lateral upper arm by the axillary nerve (which is usually not blocked). Frequent gaps in the area of the musculocutaneous nerve and the radial nerve are another disadvantage. These technique-related weaknesses can be compensated by carrying out secondary peripheral blocks of isolated nerves.