Abstract
Axillary brachial plexus blockade is a well established means of providing anesthesia and postoperative analgesia for upper extremity surgery. This article describes a technique using a bullet-tipped catheter-over-the-needle device for axillary brachial plexus blockade. This technique has several advantages over other techniques commonly used, including a very distinct endpoint when entering the brachial plexus sheath, a decreased risk of vascular and neural trauma, an insulated needle that confirms entry into the brachial plexus sheath using a nerve stimulator, a more proximal delivery site attributable to the 6.6 cm length of the catheter, and a ready means for providing continous anesthesia for prolonged procedures or postoperative analgesia. In conclusion, this method provides a safe, effective and versatile approach to axillary brachial plexus anesthesia.
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