USG Guided Forearm Nerve Block

/201 Comments/in /by

Vol 2 | Issue 1 | January-June 2021 | Page 72-77 | Madhuri Dadke, Sandeep Diwan

Authors: Madhuri Dadke [1], Sandeep Diwan [1]

[1] Department of Anaesthesia, Sancheti Hospital, Pune, Maharashtra, India.

Address of Correspondence
Dr. Sandeep Diwan,
Consultant Anaesthesiologist, Sancheti Hospital, Pune, Maharashtra, India.
E-mail: sdiwan14@gmail.com

Introduction

Forearm blocks (FAB) are implemented to provide anaesthesia for hand surgeries, as a rescue block for failed or patchy proximal brachial plexus block and to provide postoperative analgesia after a regional or a general anaesthetic [1]. The advantage of these distal blocks is preservation of proximal motor function and avoidance of central structures such as the pleura, subclavian or axillary artery and the phrenic nerve. The proximal muscle function is preserved with these blocks, requiring minimal doses of local anaesthetic. These blocks can be implemented in outpatients [2] and with patients on anticoagulants [3]. Distal nerve blocks do not prevent tourniquet pain since the lateral antebrachial cutaneous nerve of forearm (musculocutaneous nerve), the medial cutaneous nerve of the arm, the posterior cutaneous nerve of the arm, and the intercostobrachial nerve that provide cutaneous innervation of the upper arm are not blocked [4]. The above mentioned nerves are blocked in the arm. Blockade of multiple nerves are needed and so involves multiple injections that may cause more patient discomfort.

References

1) Sayeh Hazmenzedeh, David Bravos.Peripheral Nerve Blocks of the Distal Upper Extremity.ASRA 2019
2) Liebmann O, Price D, Mills C, Gardner R, Wang R, Wilson S, et al.Feasibility of forearm ultrasonography guided nerve blocks of the radial, ulnar, and median nerves for hand procedures in the emergency department.Ann Emerg Med 2006,48:558-62.
3) Jose Soberon,Neil Bhatt,Bobby Nossamon,Scott Duncan et al.Distal peripheral nerve blockade for patients undergoing hand surgery: a pilot study.Hand(New York)2015 Jun; 10(2): 197–204.
4) Herman Sehmbi,Caveh Madjdpour,Ushma Jitendra Shah,Ki Jinn Shin.Ultrasound guided distal peripheral nerve block of the upper limb: A technical review.JOACP 2015.Volume 31,issue3,296-307.
5) Jordan M.Brown, Corrie M. Yablon , Yoav Morag, Catherine J. Brandon, Jon A. Jacobson.Ultrasound of the Peripheral Nerves of the Upper Extremity: A Landmark Approach. RadioGraphics 2016; 36:452–463.
6) Chad Robertson,John Saratsiotis.A Review of Compressive Ulnar Neuropathy at the Elbow. Journal of manipulative and physiological therapeutics ,June 2005;28(5):345.
7) Henrich Kele.Ultrasonography of the peripheral nervous system. Perspectives in Medicine 2012.Volume 1, Issues 1–12, September 2012, Pages 417-421
8) Admir Hadzic.Ultrasound-Guided Forearm Blocks. Hadzic’s Nerve Blocks and Anatomy for Ultrasound Guided Regional Anesthesia, 2e.
9) Wachara Wongkerdsook,Sithiporn Agthong,Chavarin Amarase,Pattarapol Yotnuengnit,Thanasil Huanmanop,Vilai Chentanez. Anatomy of the lateral antebrachial cutaneous nerve in relation to the lateral epicondyle and cephalic vein. Clinical Anat. Jan 2011;24(1):56-61.
10) Thomas K, Sajjad H, Bordoni B. Anatomy, Shoulder and Upper Limb, Medial Brachial Cutaneous Nerve. Treasure Island : Feb 14,2021.
11) Starr,Dennis Lee,Peter Stern. Anatomy of the Posterior Antebrachial Cutaneous Nerve, Revisited.Scientific Article Volume 45,Issue4,April 2020.
12) M Lurf et al.Ultrasound guided ulnar nerve catheter placement in the forearm for postoperative pain relief and physiotherapy. Acta Anaesthesiology Scandinavia. Feb 2009;53(2):261-3
13) Sanjeev Bhoi, Amit Chandra, Sagar Galwankar. Ultrasound-guided nerve blocks in the emergency department Journal of emergencies trauma and shock.Jan-Mar 2010. 3(1): 82–88.
14) RA McCahon,NM Bedforth.Peripheral nerve blocks at the elbow and wrist.Critical Care & Pain journal,Volume 7, Issue 2, April 2007, Pages 42–44.
15) Brian M Ilfeld.Continuous .Peripheral Nerve Blocks: An Update of the Published Evidence and Comparison With Novel, Alternative Analgesic Modalities.Anesth Analg ,2017 Jan;124(1):308-335.

How to Cite this Article: Dadke M, Diwan S | USG Guided Forearm Nerve Block | International Journal of Regional Anaesthesia | January- June 2021; 2(1): 72-77.

(Abstract) (Text HTML) (Download PDF)

You might also like
Time to adequately heed Acute Pain in the Emergency Department – More Regional Blocks Warranted
Sterility Protocols During Regional Anaesthesia: An AORA Initiative
Prospective Comparative Double-Blind Study on Ultrasound-Guided Pericapsular Nerve Group Block Versus Suprainguinal Fascia Iliaca Block for Perioperative Analgesia in Traumatic Hip Surgeries
The Frail Elderly Patient and the Need for a Video Store on Regional Anaesthesia Blocks
Converting Regional Anaesthesia Database into Publication: A Step-based Approach
IJRA | Volume 2 | Issue 2 | July-December 2021
Randomized Controlled Trials
Future Directions of Regional Anaesthesia
201 replies
  78. bitokvesnuhin
    bitokvesnuhin says:

    Ощутите разницу с профессиональной штукатуркой механизированная от mehanizirovannaya-shtukaturka-moscow.ru. Процесс быстрый и чистый.

    Reply
  83. cami halısı
    cami halısı says:

    Hi, just required you to know I he added your site to my Google bookmarks due to your layout. But seriously, I believe your internet site has 1 in the freshest theme I??ve came across.

    Reply
  108. custom home construction
    custom home construction says:

    I do not know if it’s just me or if perhaps everyone else encountering problems with your blog.
    It seems like some of the text on your content are running off the screen. Can somebody
    else please provide feedback and let me know if this is happening to them
    too? This might be a problem with my web browser because I’ve had this happen previously.
    Many thanks

    Also visit my webpage :: custom home construction

    Reply
  117. custom builders
    custom builders says:

    Howdy just wanted to give you a quick heads up.
    The text in your content seem to be running off the screen in Internet explorer.
    I’m not sure if this is a formatting issue or something to do with web browser compatibility but I thought I’d post to let you know.
    The design and style look great though! Hope you get the issue fixed soon. Kudos

    Here is my site: custom builders

    Reply
  123. Stripclub
    Stripclub says:

    Very nice post. I just stumbled upon your weblog and wished to say that I’ve truly enjoyed surfing around your blog posts.
    After all I will be subscribing to your feed and I hope you write again very soon!

    Here is my blog: Stripclub

    Reply
  125. Stripclub
    Stripclub says:

    Hey just wanted to give you a quick heads up. The text in your article seem to be running
    off the screen in Opera. I’m not sure if this is a formatting issue or something to
    do with internet browser compatibility but I thought
    I’d post to let you know. The design and style look great though!
    Hope you get the issue resolved soon. Many thanks

    Also visit my homepage … Stripclub

    Reply
  130. Erotikclub
    Erotikclub says:

    Oh my goodness! Impressive article dude! Many thanks,
    However I am going through issues with your RSS.
    I don’t know the reason why I can’t subscribe to it.
    Is there anyone else getting the same RSS issues?

    Anybody who knows the answer will you kindly respond?

    Thanks!!

    Have a look at my blog post :: Erotikclub

    Reply
  148. reformas zaragoza
    reformas zaragoza says:

    May I just say what a comfort to find someone that truly knows what they’re talking
    about over the internet. You certainly understand how to bring an issue to light and
    make it important. More and more people ought to look at this and
    understand this side of the story. It’s surprising you are not more popular since you definitely possess the gift.

    my website – reformas zaragoza

    Reply
  153. 에볼루션카지노
    에볼루션카지노 says:

    I absolutely love your blog and find a lot of your post’s to be what precisely I’m looking for.

    Would you offer guest writers to write content for yourself?

    I wouldn’t mind publishing a post or elaborating on most of the subjects you write with regards to here.
    Again, awesome web log!

    Have a look at my blog post 에볼루션카지노

    Reply
  160. 유머게시판
    유머게시판 says:

    We are a bunch of volunteers and starting a brand new scheme in our community.
    Your website provided us with valuable information to work
    on. You’ve performed a formidable process and
    our entire community will likely be grateful to you.

    Here is my webpage – 유머게시판

    Reply
  167. cocinas
    cocinas says:

    Thank you for another informative website. The place else may just
    I am getting that type of info written in such an ideal manner?
    I’ve a project that I’m simply now running on, and
    I’ve been at the glance out for such information.

    My site … cocinas

    Reply
  168. Casibom
    Casibom says:

    Hi, just required you to know I he added your site to my Google bookmarks due to your layout. But seriously, I believe your internet site has 1 in the freshest theme I??ve came across.

    Reply
  174. Casibom
    Casibom says:

    Hi, just required you to know I he added your site to my Google bookmarks due to your layout. But seriously, I believe your internet site has 1 in the freshest theme I??ve came across.

    Reply
  179. beli backlink berkualitas
    beli backlink berkualitas says:

    I’m impressed, I һave to admit. Seldom ⅾo I come aｃross a blog tһat’s both educative annd engaging,
    ɑnd withoyt a doubt, yoou һave hit the nail on the head.
    The issue iѕ something ᴡhich not enough folks are speaking intelligently ɑbout.
    I am ｖery happy tһat Ι cаme aϲross thіs during my search
    for somethig ｃoncerning this.

    my web site … beli backlink berkualitas

    Reply
  182. услуги сантехника
    услуги сантехника says:

    This is the right website for anybody who wants to find out about this topic. You realize so much its almost hard to argue with you (not that I personally would want toHaHa). You definitely put a new spin on a topic that has been written about for a long time. Excellent stuff, just excellent!

    Reply
  185. купить ковер 3 на 4
    купить ковер 3 на 4 says:

    Please let me know if you’re looking for a author for your site. You have some really great posts and I believe I would be a good asset. If you ever want to take some of the load off, I’d absolutely love to write some articles for your blog in exchange for a link back to mine. Please send me an e-mail if interested. Cheers!

    Reply
  188. seo услуга
    seo услуга says:

    Wonderful beat ! I wish to apprentice whilst you amend your site, how can i subscribe for a blog web site? The account aided me a appropriate deal. I have been tiny bit familiar of this your broadcast provided shiny transparent concept

    Reply
  192. best garage door repair service near me
    best garage door repair service near me says:

    I’ve been exploring for a little for any high quality articles or weblog posts in this sort of area .

    Exploring in Yahoo I ultimately stumbled upon this site.
    Studying this info So i’m glad to show that I’ve a very excellent uncanny feeling I found out exactly what I needed.

    I most for sure will make certain to don?t forget this web site and give it a glance
    on a relentless basis.

    Reply
  199. Autode kokkuost
    Autode kokkuost says:

    I think what you postedtypedthink what you postedtypedsaidthink what you postedtypedbelieve what you postedwrotesaidWhat you postedwrotesaid was very logicala lot of sense. But, what about this?think about this, what if you were to write a killer headlinetitle?content?typed a catchier title? I ain’t saying your content isn’t good.ain’t saying your content isn’t gooddon’t want to tell you how to run your blog, but what if you added a titlesomethingheadlinetitle that grabbed people’s attention?maybe get people’s attention?want more? I mean %BLOG_TITLE% is a little vanilla. You might peek at Yahoo’s home page and watch how they createwrite news headlines to get viewers interested. You might add a video or a related pic or two to get readers interested about what you’ve written. Just my opinion, it could bring your postsblog a little livelier.

    Reply

Trackbacks & Pingbacks

  1. weather in edison new jersey says:
    November 2, 2023 at 9:29 am

    weather in edison new jersey

    […]just beneath, are many absolutely not related web pages to ours, even so, they are certainly worth going over[…]

    Reply

Leave a Reply

Want to join the discussion?
Feel free to contribute!

Leave a Reply

Your email address will not be published. Required fields are marked *