Brachial plexus block new

BRACHIAL PLEXUS BLOCK A REVIEW Dr.P.NARASIMHA REDDY M.D D.A PROFESSOR & H.O.D DEPT. OF ANAESTHESIOLOGY KURNOOL MEDICAL COLLEGE KURNOOL

Brachial plexus- a review ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Introduction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Introduction ,[object Object],[object Object],[object Object],[object Object]

HISTORY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

History ,[object Object],[object Object],[object Object]

APPLIED ANATOMY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Applied Anatomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Applied Anatomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Applied Anatomy ,[object Object],[object Object],[object Object],[object Object]

Applied Anatomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Choice of approach ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Approaches to brachial plexus ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Approaches- contd. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Approaches contd . ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Approaches contd . ,[object Object],[object Object],[object Object],[object Object],[object Object]

TECHNIQUES FOR BP BLOCK ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Techniques Cont …. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Techniques Cont .. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

TRANSARTERIAL TECHNIQUE AXILLARY BLOCK

Techniques Cont …. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Techniques Cont ….. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Techniques Cont….. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Techniques Cont ….. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

SOME GUIDING PRINCIPLES FOR BP BLOCK ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Guiding principles cont….. ,[object Object],2-4 0.25-0.5 8-10 Ropivacaine 2-3 0.25-0.5 8-12 Bupivacaine 7mg with adrenaline 0.5-1 4-7 Lidocaine Dose (mg / kg) Concentr-- ation (%) Duration (hrs) Drugs

Guiding principles cont…. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Guiding principles cont …. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Guiding principles cont …. ,[object Object],[object Object],[object Object],[object Object]

COMPLICATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Complications cont … ,[object Object],[object Object],[object Object],[object Object]

Complications cont …. ,[object Object],Needle or catheter trauma, vasoconstrictors, perineural edema, LA toxicity Anaesthesia factors Surgical trauma, strech of nerves, tourniquet ischemia, vascular compromise, peri op. imflamation, post op. infection, hematoma, cast compression, pt. position Surgical factors Preexisting neurological disorders Male, old age,extemes of body habitus, DM Patient factors Pre op. risk factors Categories

Complications cont …. ,[object Object],[object Object],[object Object],[object Object]

Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Complications cont…. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Complications cont …. ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],complications

Complication cont …. ,[object Object],[object Object],[object Object]

Complications cont … ,[object Object],[object Object],[object Object],[object Object],[object Object]

Complications . ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Complications cont … ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Complications cont …. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Brachial plexus block new

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Brachial plexus block new