Archives of Anesthesiology and Critical Care http://aacc.tums.ac.ir/index.php/aacc <strong>Archives of Anesthesia and Critical Care(AACC)</strong> is the first journal of Anesthesia and Critical Care launched by the Department of Anesthesiology and Critical Care , Tehran University of Medical Sciences ever since its foundation about eight decades back. The journal has eminent members in its editorial board both from within the country and abroad. The journal welcomes manuscripts in all fields and subspecialties related to anesthesia and basic sciences including ethics, historical perspectives, commentaries and letters of interest for our readers and furthermore aims to publish manuscripts from researchers working in all the disciplines or sub-specialties related directly or indirectly to anesthesiology, critical care and patients’ welfare and safety and in this regard, our peers in the editorial board are requested to send us their valuable manuscripts. Review articles, meta-analysis, and editorials are also welcome from our experienced colleagues on the plethora of subjects that are there in our field and which they deem would be of interest to our readers in general and would be of incalculable benefit to our patients in particular and the care givers. en-US aacc@tums.ac.ir (Atabak Najafi, M.D.) journals@tums.ac.ir (TUMS Technical Support) Mon, 16 May 2016 08:40:19 +0430 OJS 3.1.1.1 http://blogs.law.harvard.edu/tech/rss 60 Color Doppler Ultrasound-guided Axillary Brachial Plexus Block in Patient without Brachial Pulse: A Case Report http://aacc.tums.ac.ir/index.php/aacc/article/view/190 <p>Color Doppler ultrasound-guided regional block like brachial plexus block lately changed other anesthesia and analgesia practice because of the accuracy and simplicity of practice to view the anatomy of blood vessels and nerves. With color Doppler ultrasound-guided regional block you can follow needle track to nerves and prevent any vessel puncture. It can be the standard for any regional block. The patient was a 64 years Iranian who had diabetes mellitus and hypertension and planned as an urgent right upper limb amputation surgery. Because of the acute exacerbation of COPD due to pneumonia we decided to use regional anesthesia for this patient. On the first physical examination there was no peripheral pulse in patient’s right hand. With ultra-sonographic color Doppler the pulselessness of right hand artery were monitored. With the anatomic and awareness of grey-scaled ultrasonography the nerves and vessels were found. Axillary brachial plexus block with guidance of grey-scaled ultrasonography were done and the surgery was successfully performed and patient transferred to ICU for post operation care after surgery.</p> Abbas Ahmadi, Javad Amini Saman, Bahman Roshani ##submission.copyrightStatement## http://aacc.tums.ac.ir/index.php/aacc/article/view/190 Tue, 11 Sep 2018 10:11:54 +0430