Brachial Plexus Blocks for Upper Extremity Orthopaedic Surgery

被引:58
作者
Bruce, Benjamin G. [1 ]
Green, Andrew [1 ]
Blaine, Theodore A. [1 ]
Wesner, Lee V. [2 ]
机构
[1] Brown Univ, Warren Alpert Sch Med, Dept Orthopaed, Providence, RI 02912 USA
[2] Brown Univ, Warren Alpert Sch Med, Dept Anesthesiol, Providence, RI 02912 USA
关键词
GUIDED REGIONAL ANESTHESIA; ARTHROSCOPIC SHOULDER SURGERY; PERIPHERAL-NERVE BLOCKS; ULTRASOUND GUIDANCE; INTERSCALENE BLOCK; POSTOPERATIVE PAIN; GENERAL-ANESTHESIA; SITTING POSITION; MOTOR RESPONSE; SUCCESS RATE;
D O I
10.5435/JAAOS-20-01-038
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Regional anesthesia of the upper extremity has several clinical applications and is reported to have several advantages over general anesthesia for orthopaedic surgery. These advantages, such as improved postoperative pain, decreased postoperative opioid administration, and reduced recovery time, have led to widespread acceptance of a variety of regional nerve blocks. Interscalene block is the most commonly used block for shoulder surgery. Other brachial plexus nerve blocks used for orthopaedic surgery of the upper extremity are supraclavicular, infraclavicular, and axillary. Several practical and theoretical aspects of regional nerve blocks must be considered to optimize the beneficial effects and minimize the risk of complications.
引用
收藏
页码:38 / 47
页数:10
相关论文
共 58 条
[41]   Interscalene block using ultrasound guidance: impact of experience on resident performance [J].
Orebaugh, S. L. ;
Williams, B. A. ;
Kentor, M. L. ;
Bolland, M. A. ;
Mosier, S. K. ;
Nowak, T. P. .
ACTA ANAESTHESIOLOGICA SCANDINAVICA, 2009, 53 (10) :1268-1274
[42]   Ultrasound guidance with nerve stimulation reduces the time necessary for resident peripheral nerve blockade [J].
Orebaugh, Steven L. ;
Williams, Brian A. ;
Kentor, Michael L. .
REGIONAL ANESTHESIA AND PAIN MEDICINE, 2007, 32 (05) :448-454
[43]   Adverse Outcomes Associated With Stimulator-Based Peripheral Nerve Blocks With Versus Without Ultrasound Visualization [J].
Orebaugh, Steven L. ;
Williams, Brian A. ;
Vallejo, Manuel ;
Kentor, Michael L. .
REGIONAL ANESTHESIA AND PAIN MEDICINE, 2009, 34 (03) :251-255
[44]   Brachial Plexus Anatomy: Normal and Variant [J].
Orebaugh, Steven L. ;
Williams, Brian A. .
THESCIENTIFICWORLDJOURNAL, 2009, 9 :300-312
[45]   Ultrasound-Guided Supraclavicular Block Outcome of 510 Consecutive Cases [J].
Perlas, Anahi ;
Lobo, Giovanni ;
Lo, Nick ;
Brull, Richard ;
Chan, Vincent W. S. ;
Karkhanis, Reena .
REGIONAL ANESTHESIA AND PAIN MEDICINE, 2009, 34 (02) :171-176
[46]   Effect of local anaesthetic volume (20 vs 5 ml) on the efficacy and respiratory consequences of ultrasound-guided interscalene brachial plexus block [J].
Riazi, S. ;
Carmichael, N. ;
Awad, I. ;
Holtby, R. M. ;
McCartney, C. J. L. .
BRITISH JOURNAL OF ANAESTHESIA, 2008, 101 (04) :549-556
[47]   Successful use of a 20% lipid emulsion to resuscitate a patient after a presumed bupivacaine-related cardiac arrest [J].
Rosenblatt, Meg A. ;
Abel, Mark ;
Fischer, Gregory W. ;
Itzkovich, Chad J. ;
Eisenkraft, James B. .
ANESTHESIOLOGY, 2006, 105 (01) :217-218
[48]   Upper limb blocks [J].
Russon, K. ;
Pickworth, T. ;
Harrop-Griffiths, W. .
ANAESTHESIA, 2010, 65 :48-56
[49]   Levobupivacaine A Review of its Use in Regional Anaesthesia and Pain Management [J].
Sanford, Mark ;
Keating, Gillian M. .
DRUGS, 2010, 70 (06) :761-791
[50]   The efficacy of axillary block for surgical procedures about the elbow [J].
Schroeder, LE ;
Horlocker, TT ;
Schroeder, DR .
ANESTHESIA AND ANALGESIA, 1996, 83 (04) :747-751