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While one might assume slim patients are easier candidates for an axillary brachial plexus block, the reality is often the opposite. In this video, we explore the challenges associated with performing this procedure on individuals with low BMI. Key points include the role of adipose tissue in nerve identification, the implications of shallow anatomical structures, and the need to adjust needle techniques. We also discuss the increased risk of Local Anesthetic Systemic Toxicity (LAST) in slim patients and the precautions required. The video features a practical demonstration using a ropivacaine-lidocaine mixture for an AV-fistula creation procedure. Join our community, share your experiences, and learn together! 📱 Download the NYSORA Nerve Blocks app ! iOS: https://apple.co/2WUqoi7 Android: https://bit.ly/NYSORAMApp Where else to find us: Web- http://www.nysora.com Instagram- / nysora.inc LinkedIN- / nysora-inc Facebook- / nysora Twitter- / nysora TikTok- / nysora_community --------------------------------------------------------- #nysora #regionalanesthesia #anesthesia Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in the preparation of this platform warrants that the information contained herein is in every aspect accurate or complete, and they disclaim all responsibility for any errors or omissions for the results obtained from the use of the information contained in this work. Readers are advised to confirm the information contained herein with other sources. For example, readers are advised to check the product information of each drug mentioned, and that any information contained on NYSORA's Youtube channel is accurate.