Advertisement

Brachial Plexus Block (Landmark, Ultrasound-Guided, and Fluoroscopy-Guided Methods)

  • Yoshihide Terada
  • Takahisa Nishiyama
Chapter

Abstract

Brachial plexus block is useful in the evaluation and management of shoulder and upper-extremity pain. There are many approaches to making this block. An interscalene or axillary approach is safer and easier than a supraclavicular or infraclavicular approach under the Landmark method. Using an X-ray fluoroscopy-guided method, an image is created in which the first and second ribs cross. The interscalene approach or supraclavicular approach from the backside is recommended under an ultrasound-guided method.

Keywords

Brachial plexus block Landmark method Ultrasound-guided method Fluoroscopy-guided method 

References

  1. 1.
    Yuda Y. Brachial plexus block under fluoroscopic guidance. Curr Ther. 1992;10:2317–23. (in Japanese)Google Scholar
  2. 2.
    Tatushima M, Shiotani M. Brachial plexus block. Medical Postgraduates. 1997;8:236–40. (in Japanese)Google Scholar
  3. 3.
    Tatushima M, Karasawa H. Nerve block under flurorscopic guidance brachial plexus block, pain clinic. 2nd ed. Tokyo: Igaku-shoin; 2000. p. 222–4. (in Japanese)Google Scholar
  4. 4.
    Nishiyama M, Naganuma K, Amaki Y. A new approach for brachial plexus block under fluoroscopic guidance. Anesth Analg. 1999;88:91–7. (in Japanese)PubMedGoogle Scholar
  5. 5.
    Perlas A, Chan VWS, Simons M. Brachial plexus examination and localization using ultrasound and electrical stimulation. Anesthesiology. 2003;99:429–35.CrossRefGoogle Scholar
  6. 6.
    Marhofer P, Greher M, Kapral S. Ultrasound guidance in regional anaesthesia. Br J Anaesth. 2005;94:7–17.CrossRefGoogle Scholar

Copyright information

© Springer Japan KK, part of Springer Nature 2019

Authors and Affiliations

  • Yoshihide Terada
    • 1
  • Takahisa Nishiyama
    • 2
  1. 1.Osato Pain ClinicSaitamaJapan
  2. 2.Department of AnesthesiologyTokyo Medical UniversityTokyoJapan

Personalised recommendations