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Axillary Block Decision Making Explained - Crash course with Dr. Hadzic

Axillary brachial plexus block is one of the most clinically applicable regional anesthesia procedures. While adherence to the standardized sequence of injections and dosing is important for its efficacy and safety, the variations in anatomy mandate modifications and clinical decision-making. Before ultrasound guidance, clinicians typically used a “trans-arterial approach”, where the location of the needle inside the axillary plexus sheath was confirmed by the appearance of arterial blood during needle advancement. By using the trans-arterial technique, ½ of the planned dose of local anesthetic would be injected on either side of the artery, as the needle is advanced “through-and-through” the artery. With ultrasound guidance, we recommend the same technique, except that puncturing the artery as an internal landmark has been replaced by injections above and below the axillary artery while monitoring the spread of LA inside the axillary sheath. In the video, Dr Hadzic teaches a resident the process of decision-making and the sequence of an LA injection in a patient with axillary veins on the needle path. Subscribe to our YouTube channel and get our free weekly updates! 🖥 Start your 7-day free trial on the NYSORA LMS today and see why it is the go-to resource to master Regional Anesthesia at https://bit.ly/3rmvkwH 📱 Download the NYSORA Nerve Blocks app iOS: https://apple.co/2WUqoi7 Android: https://bit.ly/NYSORAMApp Where else to find us: Web- http://www.nysora.com Twitter-   / nysora   Instagram-   / nysora_community   Facebook-   / nysora   TikTok-   / nysora_community   --------------------------------------------------------- #nysora #regionalanesthesia #anesthesia Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Youtube channel is accurate.