Ultrasound guided distal peripheral nerve block of the upper limb: A technical review

Journal of Anaesthesiology, Clinical Pharmacology
Herman SehmbiKi Jinn Chin

Abstract

Upper extremity surgery is commonly performed under regional anesthesia. The advent of ultrasonography has made performing upper extremity nerve blocks relatively easy with a high degree of reliability. The proximal approaches to brachial plexus block such as supraclavicular plexus block, infraclavicular plexus block, or the axillary block are favored for the most surgical procedures of distal upper extremity. Ultrasound guidance has however made distal nerve blocks of the upper limb a technically feasible, safe and efficacious option. In recent years, there has thus been a resurgence of distal peripheral nerve blocks to facilitate hand and wrist surgery. In this article, we review the technical aspects of performing the distal blocks of the upper extremity and highlight some of the clinical aspects of their usage.

References

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Citations

Apr 16, 2016·Journal of Shoulder and Elbow Surgery·Carlos A UquillasAndrew S Rokito
Jun 28, 2016·The American Journal of Emergency Medicine·Erden Erol ÜnlüerUğur Özgürbüz
Jun 14, 2019·The Journal of Hand Surgery, European Volume·Danqing GuoDanzhu Guo
Oct 18, 2020·Rehabilitación·S Otero VillaverdeM Alonso Bidegain

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