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[Regional anesthesia-- approaches to the brachial plexus]
Johannes Büttner1, Gisela Meier
1Zentrum für Intensivmedizin, Berufsgenossenschaftliche, Unfallklinik Murnau. buettner@bgu-murnau.de
Summary
Peripheral regional blocks offer effective anesthesia for surgery and pain relief afterward. This article details techniques for both single-injection and continuous catheter methods for extremity surgeries.
Area of Science:
- Anesthesiology
- Regional Anesthesia
- Pain Management
Context:
- Peripheral regional blocks are increasingly utilized for postoperative analgesia following extremity surgeries.
- Both single-shot and continuous catheter techniques are relevant for clinical practice.
Purpose:
- To present practical, clinically relevant techniques for peripheral regional blocks.
- To describe interscalene, infraclavicular, and axillary brachial plexus blocks suitable for various applications.
- To highlight the utility of continuous suprascapular nerve blocks for chronic shoulder pain.
Summary:
- The article focuses on peripheral regional block techniques applicable to both intraoperative anesthesia and postoperative pain management.
- Detailed descriptions of interscalene, infraclavicular (Kilka, Geiger, Mehrkens/Raj, Borgeat), and axillary brachial plexus blocks are provided.
- Continuous suprascapular nerve block is discussed for non-surgical chronic shoulder pain management.
Impact:
- Provides clinicians with practical "tips and tricks" for performing advanced regional anesthesia techniques.
- Enhances patient care by offering effective pain management strategies for extremity surgeries.
- Supports the broader adoption of regional anesthesia for improved surgical outcomes and patient recovery.