Ultrasound-Guided Nerve Blocks (1)Practice of Upper Extremity Nerve Blocks: Brachial Plexus Blocks

The technique comparison of brachial plexus blocks by ultrasound guided with blocks by nerve stimulator guided.

OBJECTIVE Brachial plexus perineural blocks provide specific analgesia for upper limb surgery. We present our experience with ultrasound-guided supraclavicular brachial plexus perineural blocks for distal upper limb surgery. Although single-injection ultrasound-guided supraclavicular blocks have been reported, little is known about the advantages using this approach compared with nerve stimulat...

Upper Extremity Nerve Blocks

Upper limb nerve blocks

Brachial plexus blockade has enjoyed great popularity since it was first reported in 1884. As the ventral primary rami of cervical nerves 5–8 and a part of the first thoracic nerve emerge from the intervertebral foramina, they are invested in a fascial sheath that runs to a point distal to the axilla. Effective regional anaesthesia can be achieved with single or multiple injections at a variety...

Interscalene brachial plexus blocks and phrenic nerve palsy.

To the Editor: We were interested to read Kaufman et al.’s1 article on the surgical treatment of 14 cases of permanent diaphragm paralysis after shoulder surgery, but dismayed to read the editorial that accompanied it,2 in which it was stated that the diaphragmatic paralysis was “clearly due to phrenic nerve damage after interscalene brachial plexus block.” This assertion is open to question an...

Infraclavicular brachial plexus blocks

Successful brachial plexus block requires a thorough knowledge of anatomy, both to decide on the appropriate approach and to locate the nerves. The plexus is traditionally found at specific anatomical points by using bony or vascular landmarks, whereas ultrasound allows block of the plexus at any point along its length. The course of the brachial plexus and its relationship to nearby structures...