Ultrasound-Guided Regional Anesthesia for Procedures of the Upper Extremity
Anesthesia options for upper extremity surgery include general and regional anesthesia. Brachial plexus blockade has several advantages including decreased hemodynamic instability, avoidance of airway instrumentation, and intra-, as well as post-operative analgesia. Prior to the availability of ult...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Anesthesiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2011/579824 |
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| _version_ | 1832561490394087424 |
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| author | Farheen Mirza Anthony R. Brown |
| author_facet | Farheen Mirza Anthony R. Brown |
| author_sort | Farheen Mirza |
| collection | DOAJ |
| description | Anesthesia options for upper extremity surgery include general and regional anesthesia. Brachial plexus blockade has several advantages including decreased hemodynamic instability, avoidance of airway instrumentation, and intra-, as well as post-operative analgesia. Prior to the availability of ultrasound the risks of complications and failure of regional anesthesia made general anesthesia a more desirable option for anesthesiologists inexperienced in the practice of regional anesthesia. Ultrasonography has revolutionized the practice of regional anesthesia. By visualizing needle entry throughout the procedure, the relationship between the anatomical structures and the needle can reduce the incidence of complications. In addition, direct visualization of the spread of local anesthesia around the nerves provides instant feedback regarding the likely success of the block. This review article outlines how ultrasound has improved the safety and success of brachial plexus blocks. The advantages that ultrasound guidance provides are only as good as the experience of the anesthesiologist performing the block. For example, in experienced hands, with real time needle visualization, a supraclavicular brachial plexus block has changed from an approach with the highest risk of pneumothorax to a block with minimal risks making it the ideal choice for most upper extremity surgeries. |
| format | Article |
| id | doaj-art-4198a89301af425fbd0f265cd133af1e |
| institution | Kabale University |
| issn | 1687-6962 1687-6970 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Anesthesiology Research and Practice |
| spelling | doaj-art-4198a89301af425fbd0f265cd133af1e2025-02-03T01:24:52ZengWileyAnesthesiology Research and Practice1687-69621687-69702011-01-01201110.1155/2011/579824579824Ultrasound-Guided Regional Anesthesia for Procedures of the Upper ExtremityFarheen Mirza0Anthony R. Brown1College of Physicians and Surgeons, Columbia University, New York, NY 10027, USACollege of Physicians and Surgeons, Columbia University, New York, NY 10027, USAAnesthesia options for upper extremity surgery include general and regional anesthesia. Brachial plexus blockade has several advantages including decreased hemodynamic instability, avoidance of airway instrumentation, and intra-, as well as post-operative analgesia. Prior to the availability of ultrasound the risks of complications and failure of regional anesthesia made general anesthesia a more desirable option for anesthesiologists inexperienced in the practice of regional anesthesia. Ultrasonography has revolutionized the practice of regional anesthesia. By visualizing needle entry throughout the procedure, the relationship between the anatomical structures and the needle can reduce the incidence of complications. In addition, direct visualization of the spread of local anesthesia around the nerves provides instant feedback regarding the likely success of the block. This review article outlines how ultrasound has improved the safety and success of brachial plexus blocks. The advantages that ultrasound guidance provides are only as good as the experience of the anesthesiologist performing the block. For example, in experienced hands, with real time needle visualization, a supraclavicular brachial plexus block has changed from an approach with the highest risk of pneumothorax to a block with minimal risks making it the ideal choice for most upper extremity surgeries.http://dx.doi.org/10.1155/2011/579824 |
| spellingShingle | Farheen Mirza Anthony R. Brown Ultrasound-Guided Regional Anesthesia for Procedures of the Upper Extremity Anesthesiology Research and Practice |
| title | Ultrasound-Guided Regional Anesthesia for Procedures of the Upper Extremity |
| title_full | Ultrasound-Guided Regional Anesthesia for Procedures of the Upper Extremity |
| title_fullStr | Ultrasound-Guided Regional Anesthesia for Procedures of the Upper Extremity |
| title_full_unstemmed | Ultrasound-Guided Regional Anesthesia for Procedures of the Upper Extremity |
| title_short | Ultrasound-Guided Regional Anesthesia for Procedures of the Upper Extremity |
| title_sort | ultrasound guided regional anesthesia for procedures of the upper extremity |
| url | http://dx.doi.org/10.1155/2011/579824 |
| work_keys_str_mv | AT farheenmirza ultrasoundguidedregionalanesthesiaforproceduresoftheupperextremity AT anthonyrbrown ultrasoundguidedregionalanesthesiaforproceduresoftheupperextremity |