Efficacy and Safety of Trans-Arterial Axillary Brachial Plexus Block as Rescue Block - An Observational Study

Introduction: Brachial plexus blockade can be done by various approaches and techniques, supraclavicular approach is known as spinal arm of upper limb surgery, in some cases patchy effect can be occur, which can be overcome by Axillary blockade as rescue block resulting in avoidance of general anesthesia and minimal perioperative complications. Methodology: study at P.D.U. Medical College and hospital involves patient posted for upper arm surgery above 18 years without co-existing neurological disease. Discussion: The study comprises of 70 patients in which 35 are control group and 35 are of rescue group. The rescue group has patients in which people have some nerve sparing effect of PNS guided Supraclavicular blockade, The study found no significant differences in age, sex distribution, body weight, ASA status. Conclusion: Study indicates that ulnar/median nerve sparing effect by PNS guided blockade can be overcome by Tran’s arterial axillary approach and avoids the risks of general anesthesia.