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April 1, 1964Journal of Bone and Joint Surgery

Upper-Arm Block Anesthesia

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Key result

Upper-arm block anesthesia is linked to less supplemental anesthesia need despite a ~20% failure rate.

Population

Patients undergoing upper-arm block procedures (n=206 procedures)

Design

Case_series

Authors

ELEdward B. LeaheyBrigham and Women's HospitalEBEMILE J. BUSCICCHINyack CollegeANAnthony NotoGeisinger Medical Center

Discussion

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Implication

Upper-arm blocks may reduce supplemental anesthesia needs in select cases; leaves open confirmation via randomized trials before practice change.

Structured PICO

P
Population
Patients undergoing upper-arm block procedures (n=206 procedures)
I
Intervention
Upper-arm block anesthesia
O
Outcome
Failure rate

Upper-arm block anesthesia has a 20% failure rate but is considered safe and reduces the need for supplemental anesthesia even when it fails.

Cite This Study

Leahey et al. (1964) studied this question. Upper-arm block anesthesia had a 20% failure rate in 206 procedures, but its safety and ability to markedly decrease the need for supplemental anesthesia strongly recommend it.

synapsesocial.com/papers/6aa1fcc01200e6cee580ce43https://doi.org/10.2106/00004623-196446030-00016
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

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  4. 4Comparison of two ultrasound-guided brachial plexus block techniques for upper limb orthopaedic procedures in adults2024
  5. 5Costoclavicular Brachial Plexus Block for Upper Limb Procedures: A Narrative Review of Efficacy and Safety2026