US-guided Axillary Brachial Plexus Block - the Simple Guide

This is a simple step-by-step guide to the basic principles of safe and effective axillary brachial plexus blockade. A 2nd video with further tips and tricks is here - • US-guided Axillary Bra...
00:07 - Indications
00:32 - Preparation
01:10 - Positioning
01:46 - Scanning phase
02:20 - US anatomy
05:04 - Perivascular injection technique
06:12 - Perivascular injection video
07:16 - Perineural injection technique
10:24 - Perineural injection video 1
13:24 - Perineural injection video 2
14:53 - Clinical pearls

[@KiJinnChin]

Remember: blocks take time to work! Always allow up to 15 minutes for onset of surgical anesthesia. 00:07 - Indications 00:32 - Preparation 01:10 - Positioning 01:46 - Scanning phase 02:20 - US anatomy 05:04 - Perivascular injection technique 06:12 - Perivascular injection video 07:16 - Perineural injection technique 10:24 - Perineural injection video 1 13:24 - Perineural injection video 2 14:53 - Clinical pearls

[@shamilbassaiev9332]

Best video ever since Dr Paul 15 years ago.

[@freshgasflow]

I have done this block probably over a hundred times .... and yet I find this video and the one following absolutely amazing. It really explains things in a clinically relevant way, and I will recommend it to some big Facebook groups ! Thank you.

[@dennerdovandojr.8878]

Anesthesia resident here. Amazing video. So much detail and explanation. Thank you very much for your work. Happy New Years

[@uramalakia]

"Thank you for watching." No, good sir. Thank YOU!

[@vlaeldale]

Самое толковое видео по аксиллярной блокаде.Спасибо.

[@vaishalibhatejoshi7328]

One of the best videos I have ever seen ! Thank you !

[@iqtidarbaig8532]

This is not excellent but above excellent video, rather i don't find words to admire your such a nice effort. Thank you very much. Dear sir please post video on interscalene block. Once again thanks.

[@frogringer]

thanks for this excellent video. best I've found on this procedure by far. cheers

[@georgjacobs4442]

Many thanks Professor, very clear and instructive.

[@mj-uy8sd]

Thank you very much, your my best us regional teacher

[@omar-iv9xi]

Very nice scientific and simple explanation manner, thank you very much

[@mathu2008]

excellent demo. at 2:47 in the video please correct the labelling to biceps from coracobrachialis

[@KiJinnChin]

Ah ... but it isn't biceps. It is all coracobrachialis at this level. This was a misconception we all had for a long time. The fascial plane through which MCN travels is actually through coracobrachialis.

[@auriga3664]

Thank you for the detailed video 😊

[@MrVeer58]

Many thanks for the video.

[@fernfernsone]

Thank you so much this is so helpful

[@wafaibrahim369]

Thanks a lot for sharing

[@firelight3912]

Not Good work.... It is Excellent work... Thanks prof.

[@gungthey84]

Thanks, Sir. Need a guide on supraclavicular brachial plexus block, where to inject - inside or outside the sheath?

[@iqtidarbaig8532]

Sir when you are going to post video on interscalene block both long and short version. Thanks

[@KiJinnChin]

I must say that I almost never do interscalene blocks anymore. I only do superior trunk blocks - you can find short and long videos describing this block on my channel. However I also have videos illustrating an OOP interscalene catheter approach which covers some of the basic concepts.

[@Constyish]

Dear mr. Chin, first a lot thank yous for making this excellent series of very clear and instructional video's! I wonder what your take would be on performing this block with lidocain 1% with or without adrenaline when using it for arm procedures like reducing distal radial fractures. When using lidocain 1% without adrenaline the maximal volume is often

[@KiJinnChin]

30 ml of 1% lidocaine = 300mg. This is still within recommended limits of 5 mg/kg or 350mg - see Table 1 in this article - pubmed.ncbi.nlm.nih.gov/26830640/ and here - photos.app.goo.gl/RoceH3jrwSHpSVJK6

[@soundreign2319]

I received the brachial plexus injection for my left arm and left hand 2 weeks ago for pain from a condition I have called complex regional pain syndrome. Is it normal to have pins and needle or stitch like pain in the neck, shoulder, chest, face and ear on the side (the left side) of where the injection was? If so, how long does this post injection pain last for?