Upper Limb Nerve Blocks

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

    Research output: Contribution to journalReview articlepeer-review

    3 Citations (Scopus)
    237 Downloads (Pure)

    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

    Keywords

    • Brachial plexus block
    • regional anaesthesia
    • technique
    • ultrasound

    ASJC Scopus subject areas

    • Critical Care and Intensive Care Medicine
    • Anesthesiology and Pain Medicine

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