Upper limb nerve blocks

Pavan Kumar B.C. Raju, James S. Bowness

Research output: Contribution to journalReview articlepeer-review

1 Citation (Scopus)


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)160-165
Number of pages6
JournalAnaesthesia and Intensive Care Medicine
Issue number3
Early online date31 Jan 2022
Publication statusPublished - Mar 2022


  • 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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  • Upper Limb Nerve Blocks

    Raju, P. K. B. C. & Bowness, J., Apr 2019, In: Anaesthesia and Intensive Care Medicine. 20, 4, p. 224-229 6 p.

    Research output: Contribution to journalReview articlepeer-review

    Open Access
    2 Citations (Scopus)
    198 Downloads (Pure)
  • Upper limb nerve blocks

    Coventry, D. M. & Raju, P. K. B. C., Apr 2016, In: Anaesthesia and Intensive Care Medicine. 17, 4, p. 187-191 5 p.

    Research output: Contribution to journalArticlepeer-review

    1 Citation (Scopus)

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