Upper Limb Nerve Blocks

Pavan Kumar B. C. Raju, James Bowness (Lead / Corresponding author)

Research output: Contribution to journalReview article

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Abstract

Brachial plexus blockade is used for a variety of upper limb surgical procedures. Ultrasound guidance is generally considered to be the gold-standard technique, although large-scale studies examining efficacy and complications of ultrasound-guided techniques compared with nerve stimulation are still needed. Interscalene block remains the approach of choice for shoulder surgery, although phrenic nerve blockade is common even using low volumes of local anaesthetic. Of the currently available studies comparing the other approaches, there seems to be little difference in efficacy between axillary, supraclavicular and infraclavicular approaches for elbow, forearm and hand surgery when equivalent levels of expertise are used. The major features influencing block choice and performance are discussed.
Original languageEnglish
Pages (from-to)224-229
Number of pages6
JournalAnaesthesia and Intensive Care Medicine
Volume20
Issue number4
Early online date8 Mar 2019
DOIs
Publication statusPublished - Apr 2019

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Keywords

  • Brachial plexus block
  • regional anaesthesia
  • technique
  • ultrasound

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