Submited on: 24 Mar 2013 07:17:21 PM GMT
Published on: 25 Mar 2013 01:30:08 PM GMT

Many thanks to dr. Dr. Somchai Amornyotin for the posted comment on the manuscript The Manani’s technique. Some elements of distinction from supraclavicular perivascular techniques.


  1. The study has a low sample size. Yes, we agree that 80 patients may be a small sample size, but this is a simple observational study.
  2. The authors should to be suggested the readers to apply this knowledge in routine clinical practice. Obviously the results of this study support the use of this technique in every day clinical practice because it works well and safely.
  3. The study showed that the failure rate was about 8%.  What did the authors do after the brachial plexus block was failed?   How did the authors perform in these 8% failed patients. After failure of the block you have 2 choices: a) to turn the management in general anaesthesia; b) to wait about 1 hour to get a lower local anestetic blood level and repeat the block.
  4. Kind regards, Gastone Zanette