Single, double or multiple-injection techniques for axillary brachial plexus block for hand, wrist or forearm surgery in adults

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There is evidence that multiple injection techniques using nerve stimulation for axillary plexus block produce more effective anaesthesia than either double or single injection techniques. There is insufficient evidence for a significant difference in other outcomes, including safety.

Regional anaesthesia comprising axillary block of the brachial plexus is a common anaesthetic technique for distal upper limb surgery. Successful blocking of the nerves produces a numb and limp arm that enables pain-free surgery. This review compared the relative effects of single, double or multiple injections for axillary block of the brachial plexus for distal upper limb surgery.

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