Abstract
The upper limb is mostly innervated by the nerves that originate from the brachial plexus. Though brachial plexus block has been practiced with landmark-based and peripheral nerve stimulator (PNS) based approaches for almost a century now, the use of ultrasound has increased the success rate and reduced the complications. The use of ultrasound has also ushered in new techniques of brachial plexus block such as the costoclavicular block. In this chapter, we have described approaches of ultrasound-guided brachial plexus block. We have also described the median, radial and ulnar nerve blocks at the elbow and wrist region and other supplementary nerve blocks that can be helpful for conducting an upper limb surgery.
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References
Olea E, Fondarella A, Sánchez C, Iriarte I, Almeida MV, MartÃnez de Salinas A. Bloqueo de los nervios periféricos a nivel de la muñeca guiado por ecografÃa para el tratamiento de la hiperhidrosis idiopática palmar con toxina botulÃnica [Ultrasound-guided peripheral nerve block at wrist level for the treatment of idiopathic palmar hyperhidrosis with botulinum toxin]. Rev Esp Anestesiol Reanim. 2013;60:571–5.
Bajaj S, Pattamapaspong N, Middleton W, Teefey S. Ultrasound of the hand and wrist. J Hand Surg Am. 2009;34:759–60.
Heinemeyer O, Reimers CD. Ultrasound of radial, ulnar, median and sciatic nerves in healthy subjects and patients with hereditary motor and sensory neuropathies. Ultrasound Med Biol. 1999;25:481–5.
Kiely PD, O’Farrell D, Riordan J, Harmon D. The use of ultrasound-guided hematoma blocks in wrist fractures. J Clin Anesth. 2009;21:540–2.
Liebmann O, Price D, Mills C, et al. Feasibility of forearm ultrasonography guided nerve blocks of the radial, ulnar, and median nerves for hand procedures in the emergency department. Ann Emerg Med. 2006;48:558–62.
Macaire P, Singelyn F, Narchi P, Paqueron X. Ultrasound- or nerve stimulation guided wrist blocks for carpal tunnel release: a randomized prospective comparative study. Reg Anesth Pain Med. 2008;33:363–8.
McCartney CJL, Xu D, Constantinescu C, et al. Ultrasound examination of peripheral nerves in the forearm. Reg Anesth Pain Med. 2007;32:434–9.
Peng PW, Narouze S. Ultrasound-guided interventional procedures in pain medicine: a review of anatomy, sonoanatomy, and procedures: Part I: Nonaxial structures. Reg Anesth Pain Med. 2009;34:458–74.
Acknowledgement
Dr. Amit Dikshit for rescue block images and Dr. Rajendra Sahoo for Stellate ganglion block images.
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Chakraborty, A., Sarkar, A. (2021). Regional Anaesthesia for the Upper Limb. In: Chakraborty, A. (eds) Blockmate. Springer, Singapore. https://doi.org/10.1007/978-981-15-9202-7_2
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DOI: https://doi.org/10.1007/978-981-15-9202-7_2
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