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In adults, excessive HGH secretionmost commonly from a pituitary adenomaleads to acromegaly, whereas excess HGH secretion occurring before the closure of epiphyseal growth plates results in gigantism

(Regional Anesthesia & Pain Medicine, 2024) analyzed 26,947 brachial plexus blocks from the net-ra registry and found that axillary blocks had the highest adjusted odds of block failure (OR 2.3), catheter failure (OR 1.4), and postoperative neurological dysfunction (OR 3.0) compared with interscalene approaches

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