Which is ideal regional anesthetic technique used for a child with dislocated fracture of first metacarpal?
Axillary block is preferred in above patient Axillary, musculocutaneous, and medial brachial cutaneous nerves are usually spared with an axillary approach. Few contraindications to axillary brachial plexus blocks. Local infection, Neuropathy, Bleeding risk Axilla is highly vascularized, there is a risk of local anesthetic uptake through small veins traumatized by needle placement. The axilla is also a suboptimal site for perineural catheter placement because of greatly inferior analgesia versus an infraclavicular infusion, as well as increased risks of infection and catheter dislodgement
Infraclavicular block
Supraclavicular block
Axillary block
Interscalene block
Regional Anesthesia