The experience of using ultrasonic navigation of nerves with blockade of the brachial plexus and large nerves of the lower limb

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Under ultrasound control, a blockade of large nerve trunks and plexuses of the extremities was performed in 865 patients. All of them, depending on the blockade performed, were divided into groups: blockade of the brachial plexus by axillary access; blockade of the brachial plexus supraclavicular access; blockade of the brachial plexus with interstitial access;) combined blockage of the femoral and sciatic nerves. Anesthesia was carried out with a local anesthetic solution consisting of 10 ml of 2% lidocaine and 10 ml of 1% ropivacaine (total 20 ml). Because of the work, the high efficiency of the ultrasonic nerve navigation technique (99.3%) and its safety (the absence of repeated attempts to identify nerves and complications of anesthesia) were shown. The use of ultrasonic navigation in our modification when performing blockades of large nerves and nerve plexuses of the extremities helps to determine the localization of nerves, to observe the position of the needle relative to the anatomical structures during its advancement.

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