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Article: Modification of the Sitting Position for Posterior Brachial Plexus Block by Utilizing an Eye Surgery Stretcher
- Article from:
- Regional Anesthesia and Pain Medicine
- Article date:
- May 1, 2007
- Author:
CopyrightCopyright Churchill Livingstone Inc., Medical Publishers May/Jun 2007. Provided by ProQuest LLC. (Hide copyright information)
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To the Editor:
Of the 2 methods to position a patient for a posterior brachial-plexus block (PBPB) (Pippa technique), the preferred method is the sitting position, which makes landmark identification easy and properly aligns the head with the cervical and the thoracic spine.1 Neck pain from the needle insertion often necessitates administration of intravenous sedatives or narcotics while the PBPB is performed. As a result, patients often are unable to stabilize their upper body. Any further complications that appear while the patient is in a sitting position would require effort and time to reposition the patient supine.2
To improve stability and safety, we have been using an eye surgery ...