Peripheral nerve blocks on the upper extremity: Technique of landmark-based and ultrasound-guided approaches

Anaesthesist. 2015 Nov;64(11):846-54. doi: 10.1007/s00101-015-0091-x.

Abstract

The German Society of Anaesthesiology and Intensive Care Medicine (Deutsche Gesellschaft für Anästhesiologie und Intensivmedizin, DGAI) established an expert panel to develop preliminary recommendations for the application of peripheral nerve blocks on the upper extremity. The present recommendations state in different variations how ultrasound and/or electrical nerve stimulation guided nerve blocks should be performed. The description of each procedure is rather a recommendation than a guideline. The anaesthesiologist should select the variation of block which provides the highest grade of safety according to his individual opportunities. The first section comprises recommendations regarding dosages of local anaesthetics, general indications and contraindications for peripheral nerve blocks and informations about complications. In the following sections most common blocks techniques on the upper extremity are described.

Keywords: Electrical nerve stimulation guided; Peripheral nerve block; Recommendation; Regional anesthesia; Ultrasound guided; Upper extremity.

Publication types

  • Review

MeSH terms

  • Anatomic Landmarks*
  • Humans
  • Nerve Block*
  • Peripheral Nerves* / diagnostic imaging
  • Ultrasonography, Interventional / methods*
  • Upper Extremity* / innervation