Upper limb nerve blocks

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

doi:10.1016/j.mpaic.2021.11.009

Upper limb nerve blocks

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

Research output: Contribution to journal › Review article › peer-review

2 Citations (Scopus)

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 language	English
Pages (from-to)	160-165
Number of pages	6
Journal	Anaesthesia and Intensive Care Medicine
Volume	23
Issue number	3
Early online date	31 Jan 2022
DOIs	https://doi.org/10.1016/j.mpaic.2021.11.009
Publication status	Published - Mar 2022

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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10.1016/j.mpaic.2021.11.009Licence: Elsevier User Licence

Cite this

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title = "Upper limb nerve blocks",

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.",

keywords = "Brachial plexus block, regional anaesthesia, technique, ultrasound",

author = "Raju, \{Pavan Kumar B.C.\} and Bowness, \{James S.\}",

note = "Funding Information: The authors would like to acknowledge use of cadaveric images from ?Anatomy for the FRCA? by Bowness \& Taylor (book in press; CUP). Publisher Copyright: {\textcopyright} 2021",

year = "2022",

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doi = "10.1016/j.mpaic.2021.11.009",

language = "English",

volume = "23",

pages = "160--165",

journal = "Anaesthesia and Intensive Care Medicine",

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TY - JOUR

T1 - Upper limb nerve blocks

AU - Raju, Pavan Kumar B.C.

AU - Bowness, James S.

PY - 2022/3

Y1 - 2022/3

N2 - 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.

AB - 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.

KW - Brachial plexus block

KW - regional anaesthesia

KW - technique

KW - ultrasound

UR - https://www.scopus.com/pages/publications/85123645033

U2 - 10.1016/j.mpaic.2021.11.009

DO - 10.1016/j.mpaic.2021.11.009

M3 - Review article

AN - SCOPUS:85123645033

SN - 1472-0299

VL - 23

SP - 160

EP - 165

JO - Anaesthesia and Intensive Care Medicine

JF - Anaesthesia and Intensive Care Medicine

IS - 3

ER -

Upper limb nerve blocks

Abstract

Keywords

ASJC Scopus subject areas

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Upper Limb Nerve Blocks

Upper limb nerve blocks

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