Clinical efficacy of the brachial plexus block via the posterior approach

Sandefo, Ignace; Iohom, Gabrielle; Elstraete, Alain Van; Lebrun, T.; Polin, Bruno

doi:10.1097/00003643-200505001-00407

Cited by 4 publications

(12 citation statements)

References 0 publications

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“…57, 74,75 Observational studies have shown 98% overall success with this approach. 76 The posterior approach of Boezaart et al 74 is comparable to the lateral approach of Winnie et al in terms of block success and side effects. 60 The cervical paravertebral block causes less motor block 74 and greater ease of perineural catheter placement 75 as compared with traditional interscalene approaches.…”

Section: Interscalene Blockmentioning

confidence: 95%

Upper Extremity Regional Anesthesia

Neal¹,

Gerancher

Hebl

et al. 2009

Regional Anesthesia and Pain Medicine

308

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Brachial plexus blockade is the cornerstone of the peripheral nerve regional anesthesia practice of most anesthesiologists. As part of the American Society of Regional Anesthesia and Pain Medicine's commitment to providing intensive evidence-based education related to regional anesthesia and analgesia, this article is a complete update of our 2002 comprehensive review of upper extremity anesthesia. The text of the review focuses on (1) pertinent anatomy, (2) approaches to the brachial plexus and techniques that optimize block quality, (4) local anesthetic and adjuvant pharmacology, (5) complications, (6) perioperative issues, and (6) challenges for future research.Upper extremity regional anesthesia has been a mainstay of the anesthesiologist's armamentarium since Hall 1 first reported the use of cocaine to block the brachial plexus in 1884. Recognizing that upper extremity neural blockade represents the most frequent use of peripheral nerve blocks in most anesthesiologists' practice, 2 in 2001, the American Society of Regional Anesthesia and Pain Medicine (ASRA) undertook a critical review of all available English-language publications pertinent to this topic. The resulting extensive source document was synthesized into a comprehensive review article 3 that was published in 2002; both the source and the review documents will be updated approximately every 5 years.Rather than publishing only new material that has become available since 2002, the original review article has been completely revised so that readers may continue to view the subject matter in its entirety. New topics in this review include ultrasound-guided brachial plexus block, continuous catheter-based analgesia, and a collection of new images * by medical illustrator, Jennifer Gentry (www.gentryvisualization.com). This review summarizes the essential scholarly work available from the source document, which can be viewed at Copyright © 2009 by American Society of Regional Anesthesia and Pain Medicine Address correspondence to: Joseph M. Neal, MD, 1100 Ninth Ave (B2-AN), Seattle, WA 98101 (anejmn@vmmc.org). The contents of this article are solely the responsibility of the authors and do not necessarily represent the official views of this entity. James P. Rathmell, MD, served as acting editor-in-chief for this article.Financial support: None. NIH Public Access Author ManuscriptReg Anesth Pain Med. Author manuscript; available in PMC 2010 March 1. Published in final edited form as:Reg Anesth Pain Med. 2009 ; 34(2): 134-170. doi:10.1097/AAP.0b013e31819624eb. NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript www.asra.com. This review article strives (1) to serve as a review of pertinent anatomy, (2) to compare the effectiveness of brachial plexus approaches and techniques, (3) to present available evidence to guide selection of pharmacological agents, (4) to describe the complications inherent to upper extremity anesthesia, (5) to consider pertinent perioperative issues, and (6) to identify informational gaps and empha...

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Section: Interscalene Blockmentioning

confidence: 95%

Upper Extremity Regional Anesthesia

Neal¹,

Gerancher

Hebl

et al. 2009

Regional Anesthesia and Pain Medicine

308

View full text Add to dashboard Cite

show abstract

“…Their article is, however, not as they state "the first clinical report on the single-injection nerve-stimulation technique for brachial plexus block via the posterior approach for shoulder surgery." 1 It is understandable that they should have missed the previous articles, which were published in the Dutch language by my coauthors and me in 1998 and 2002. 2,3 Our clinical experience was also described in a letter to the editor in this journal in 2003.…”

Section: Posterior Approach To the Brachial Plexusmentioning

confidence: 99%

“…1 The authors are to be congratulated on making a good case for this technique. Their article is, however, not as they state "the first clinical report on the single-injection nerve-stimulation technique for brachial plexus block via the posterior approach for shoulder surgery."…”

Section: Posterior Approach To the Brachial Plexusmentioning

confidence: 99%

“…Hopefully this letter will encourage other anesthesiologists to consider using the posterior approach and help them avoid the pitfalls. We read with interest the experience of Sandefo et al 1 with the posterior approach to the brachial plexus at the interscalene groove. That we can get to this so disputed place from the side, from the front, and now from behind is marvellous.…”

Section: Posterior Approach To the Brachial Plexusmentioning

confidence: 99%

“…That we can get to this so disputed place from the side, from the front, and now from behind is marvellous. We would like to add nuance to the term "downward" that Sandefo et al 1 used to describe the needle direction in the anterior approach called intersternocleidomastoid (ISCM). 2 The needle direction in ISCM is best shown in Figure 1 and Figure 2.…”

Section: Posterior Approach To the Brachial Plexusmentioning

confidence: 99%

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