Children Relative Contra indications. Axillary approach is advisable 2. Tall, narrow chested patients apex of pleura at higher level Complications 1. Toxicity of local anaesthetic 4. Arterial puncture Axillary Approach Position Of The Patient 1.
Patient lies supine with head resting on the pillow.
The arm is abducted at 90 degree and externally rotated. The forearm is flexed 45 degree at the elbow. The axillary area is scrubbed with antiseptics. Axillary artery identified by palpation. Skin wheal with local anaesthetic is made.