Plexus brachialis

Abstract

This review explains the different approaches to the brachial plexus (posterior cervical, interscalene, supra- and infraclavicular, and axillary) and their advantages and disadvantages (indications, contraindications, and complications) for surgery and postoperative or chronic pain management. One of the focussed areas of this review is the use of continuous catheter techniques. Information about the most commonly used local anesthetics as well as adjuncts suggested in the literature is summarized. As essential components for the success of those techniques, organizational and documentation requirements are described. In summary, regional techniques for single shot or continuous block of the brachial plexus are an efficient and safe way of providing anesthesia and analgesia for surgery or pain in the region of the shoulder, arm, or hand.

Skin Perfusion Changes within 12 h after Axillary Plexus Block

“…Blocking the brachial nerves causes numbness and palsy in the arm distal to the injection site and facilitates pain-free surgery [10]. Close to the median, radial, ulnar, and musculocutaneous nerves, the local anesthetic is injected [11]. Often, a rapid-onset solution and long-lasting anesthetic of the amid type is used (e.g., ropivacaine and lidocaine or mepivacaine) [12].…”

Our Ultrasound-Guided Infraclavicular Block Practice in the Early Stages of Learning Curve

“…Brakiyal pleksus bloğunda analjezinin daha iyi sağlandığını, ek analjeziye gereksinim olmadığını, hastanın erken dönemde taburcu olabildiğini ve yan etkiler yönün-den daha üstün olduğunu belirtmişlerdir. Dolayısıyla günümüzde üst ekstremite cerrahisinde brakiyal pleksus blokajının güvenle uygulanabilecek etkin bir anestezi yöntemi olduğu kabul edilmektedir (19) . Çalışmamızda el, ön kol ve kol cerrahisinde anestezi yöntemi olarak hastalara genel anestezi veya rejyonal anestezi olarak brakial pleksus bloğu uygulandığı görülmüştür.…”

The Effects of Axillary Nerve Block and Intravenous Regional Anesthesia on Ischemia-Reperfusion Injury Induced By Tourniquet

“…The advantages such as preservation of consciousness and airway reflexes during operation and prolonged postoperative analgesia are the most common reasons for preferring regional anesthesia. Brachial plexus block for anesthesia or analgesia is a safe and commonly used technique in upper extremity surgery (1) . Intravenous Regional Anesthesia (IVRA) is widely used in extremity surgery, particularly in the upper extremity because of its reliability and ease of technique (2) .…”