{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T08:33:50Z","timestamp":1761726830056,"version":"build-2065373602"},"reference-count":28,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2006,5,12]],"date-time":"2006-05-12T00:00:00Z","timestamp":1147392000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Anaesthesia"],"published-print":{"date-parts":[[2006,6]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>The aim of this study was to examine the effect of a 20\u00b0 Trendelenburg position on the blockade of nerves that exit the brachial plexus proximally in patients undergoing single\u2010injection axillary brachial plexus block. After a pilot study of eight cadavers suggested that a head\u2010down and lateral position would encourage the proximal spread of local anaesthetic, 72 patients undergoing elective surgery were divided into two equal groups: a Supine group and a Modified Position group (lateral position, 20\u00b0 head\u2010down tilt). Patients were left in the allocated position for 30\u2003min after an axillary block had been performed with alkalinised mepivacaine 1% 49.5\u2003ml. Sensory and motor blockade evaluation showed that there was a significantly higher proportion of axillary nerve (76% vs. 0%, p\u2003&lt;\u20030.001), thoracodorsal nerve (86% vs. 0%, p\u2003&lt;\u20030.001) and subscapular nerve (89% vs. 0%, p\u2003&lt;\u20030.001) blockade in the Modified Position group. Sensory block of the radial nerve was also improved by the modified position (100% vs. 86%, p\u2003&lt;\u20030.05).<\/jats:p>","DOI":"10.1111\/j.1365-2044.2006.04618.x","type":"journal-article","created":{"date-parts":[[2006,5,12]],"date-time":"2006-05-12T11:33:06Z","timestamp":1147433586000},"page":"528-534","source":"Crossref","is-referenced-by-count":5,"title":["Perivascular axillary brachial plexus block and patient positioning: the influence of a lateral, head\u2010down position"],"prefix":"10.1111","volume":"61","author":[{"given":"O.","family":"Orlowski","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V.","family":"Bullmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V.","family":"Vieth","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Filler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N.","family":"Osada","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Van Aken","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T. 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