Brachial Plexus Block Techniques
| Autor: | Pester JM; St. Luke's University Health Network, Hendrix JM; University of Texas Southwestern, Varacallo M; Penn Highlands Healthcare System |
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| Jazyk: | angličtina |
| Zdroj: | 2022 Jan. |
| Abstrakt: | Blockade of the brachial plexus is an effective method for providing anesthesia to the upper limb from the shoulder to the fingertips. Multiple approaches to blocking the brachial plexus depend on the block indication, surgery or procedure being performed, patient-specific body habitus, medical comorbidities, and individual anatomy variations. This review will address the indications, probe placement, and sonoanatomy for ultrasound-guided interscalene block, superior trunk block, supraclavicular brachial plexus block, infraclavicular brachial plexus block, and axillary brachial plexus block. It is well established that brachial plexus blocks provide superior post-operative pain management compared to general anesthesia alone as well as the use of catheter-based continuous infusions for brachial plexus blocks is superior to single shot brachial plexus blocks for perioperative pain score and opiate consumption requirements for a variety of upper extremity surgeries. Intra-articular infiltration during surgery is less generally effective than brachial plexus blocks within the shoulder. While brachial plexus blocks as the sole anesthetic may have some cost-saving aspects compared to the use of general anesthesia, this is only in the case of no need to utilize general anesthesia as a rescue technique emphasizing the supreme importance of successful block placement and management in maintaining cost-efficient practices as per a recent review article. (Copyright © 2022, StatPearls Publishing LLC.) |
| Databáze: | MEDLINE |
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