Peripheral nerve blocks on the upper extremity: Technique of landmark-based and ultrasound-guided approaches

T Steinfeldt^{1

2}, T Volk³, P Kessler⁴, O Vicent⁵, H Wulf⁶, A Gottschalk⁷, M Lange⁸, P Schwartzkopf⁹, E Hüttemann¹⁰, R Tessmann¹¹, A Marx¹¹, J Souquet⁴, D Häger¹², W Nagel¹³, J Biscoping¹³, U Schwemmer¹⁴

Affiliations

¹ Department of Anaesthesiology and Intensive Care Therapy, UKGM Giessen-Marburg, Location Marburg, Marburg, Germany. Thorsten.steinfeldt@med.uni-marburg.de.
² Department of Anaesthesiology and Intensive Care Therapy, Philipps University Hospital, Philipps University Marburg, Baldingerstr., 35033, Marburg, Germany. Thorsten.steinfeldt@med.uni-marburg.de.
³ Department of Anaesthesiology, Intensive Care Medicine and Pain Management, University Hospital Saarland, Homburg, Germany.
⁴ Department of Anaesthesiology, Intensive Care- and Pain Medicine, Orthopaedic University Hospital Friedrichsheim, Frankfurt am Main, Germany.
⁵ Department of Anaesthesiology and Intensive Care Medicine, University Hospital Karl-Gustav Carus, Dresden, Germany.
⁶ Department of Anaesthesiology and Intensive Care Therapy, UKGM Giessen-Marburg, Location Marburg, Marburg, Germany.
⁷ Department for Anaesthesiology, Intensive Care- and Pain Medicine, Diakonische Dienste Hannover gGmbH, Hannover, Germany.
⁸ Department for Anaesthesia and Intensive Care Therapy, Waldkrankenhaus "Rudolf Elle" GmbH, Eisenberg, Germany.
⁹ Department for Anaesthesiology, Intensive Care Medicine, Pain Therapy and Palliative Medicine, HELIOS Klinikum Borna, HELIOS Klinikum Borna, Borna, Germany.
¹⁰ Department for Anaesthesia and Intensive Care Medicine, Klinikum Worms gGmbH, Worms, Germany.
¹¹ Department for Anaesthesiology, Intensive Care Medicine and Pain Therapy, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Frankfurt, Germany.
¹² Department for Anaesthesiology and Intensive Care Medicine, Diakonissenkrankenhaus, Flensburg, Germany.
¹³ Department for Anaesthesiology and Surgical Intensive Care Medicine, St. Vincentius-Kliniken gAG Karlsruhe, Karlsruhe, Germany.
¹⁴ Department for Anaesthesiology and Intensive Care Medicine, County Hospital Neumarkt i. d. OPf., Neumarkt i. d. OPf., Germany.

PMID: 26408023
DOI: 10.1007/s00101-015-0091-x

Review

Peripheral nerve blocks on the upper extremity: Technique of landmark-based and ultrasound-guided approaches

T Steinfeldt et al. Anaesthesist. 2015 Nov.

. 2015 Nov;64(11):846-54.

doi: 10.1007/s00101-015-0091-x.

Authors

Affiliations

¹ Department of Anaesthesiology and Intensive Care Therapy, UKGM Giessen-Marburg, Location Marburg, Marburg, Germany. Thorsten.steinfeldt@med.uni-marburg.de.
² Department of Anaesthesiology and Intensive Care Therapy, Philipps University Hospital, Philipps University Marburg, Baldingerstr., 35033, Marburg, Germany. Thorsten.steinfeldt@med.uni-marburg.de.
³ Department of Anaesthesiology, Intensive Care Medicine and Pain Management, University Hospital Saarland, Homburg, Germany.
⁴ Department of Anaesthesiology, Intensive Care- and Pain Medicine, Orthopaedic University Hospital Friedrichsheim, Frankfurt am Main, Germany.
⁵ Department of Anaesthesiology and Intensive Care Medicine, University Hospital Karl-Gustav Carus, Dresden, Germany.
⁶ Department of Anaesthesiology and Intensive Care Therapy, UKGM Giessen-Marburg, Location Marburg, Marburg, Germany.
⁷ Department for Anaesthesiology, Intensive Care- and Pain Medicine, Diakonische Dienste Hannover gGmbH, Hannover, Germany.
⁸ Department for Anaesthesia and Intensive Care Therapy, Waldkrankenhaus "Rudolf Elle" GmbH, Eisenberg, Germany.
⁹ Department for Anaesthesiology, Intensive Care Medicine, Pain Therapy and Palliative Medicine, HELIOS Klinikum Borna, HELIOS Klinikum Borna, Borna, Germany.
¹⁰ Department for Anaesthesia and Intensive Care Medicine, Klinikum Worms gGmbH, Worms, Germany.
¹¹ Department for Anaesthesiology, Intensive Care Medicine and Pain Therapy, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Frankfurt, Germany.
¹² Department for Anaesthesiology and Intensive Care Medicine, Diakonissenkrankenhaus, Flensburg, Germany.
¹³ Department for Anaesthesiology and Surgical Intensive Care Medicine, St. Vincentius-Kliniken gAG Karlsruhe, Karlsruhe, Germany.
¹⁴ Department for Anaesthesiology and Intensive Care Medicine, County Hospital Neumarkt i. d. OPf., Neumarkt i. d. OPf., Germany.

PMID: 26408023
DOI: 10.1007/s00101-015-0091-x

Abstract

The German Society of Anaesthesiology and Intensive Care Medicine (Deutsche Gesellschaft für Anästhesiologie und Intensivmedizin, DGAI) established an expert panel to develop preliminary recommendations for the application of peripheral nerve blocks on the upper extremity. The present recommendations state in different variations how ultrasound and/or electrical nerve stimulation guided nerve blocks should be performed. The description of each procedure is rather a recommendation than a guideline. The anaesthesiologist should select the variation of block which provides the highest grade of safety according to his individual opportunities. The first section comprises recommendations regarding dosages of local anaesthetics, general indications and contraindications for peripheral nerve blocks and informations about complications. In the following sections most common blocks techniques on the upper extremity are described.

Keywords: Electrical nerve stimulation guided; Peripheral nerve block; Recommendation; Regional anesthesia; Ultrasound guided; Upper extremity.

PubMed Disclaimer

Cited by

The Use of Regional Anesthesia to Reduce Blood Loss in Isolated Limb Perfusion (ILP)-A Novel Approach.
Niethard M, Fischer H, Gaßmann B, Haralambiev L, Tipp A, Tunn PU. Niethard M, et al. J Clin Med. 2023 Oct 16;12(20):6542. doi: 10.3390/jcm12206542. J Clin Med. 2023. PMID: 37892681 Free PMC article.
A Swiss nationwide survey shows that dual guidance is the preferred approach for peripheral nerve blocks.
Luedi MM, Upadek V, Vogt AP, Steinfeldt T, Eichenberger U, Sauter AR. Luedi MM, et al. Sci Rep. 2019 Jun 24;9(1):9178. doi: 10.1038/s41598-019-45700-3. Sci Rep. 2019. PMID: 31235760 Free PMC article.
[Regional anesthesia: tradition and innovation].
Schwemmer U. Schwemmer U. Anaesthesist. 2017 Dec;66(12):901-903. doi: 10.1007/s00101-017-0382-5. Anaesthesist. 2017. PMID: 29134257 German. No abstract available.
[Ultrasound-guided regional anesthesia: best practice upper extremities].
Ermert T, Goeters C. Ermert T, et al. Anaesthesist. 2020 Dec;69(12):941-950. doi: 10.1007/s00101-020-00878-4. Anaesthesist. 2020. PMID: 33210184 German.
[Central neurological complication of an interscalene plexus catheter].
Nöske E, Stolzer M, Racher M, Baumann H, Lehmann KJ, Henrich M. Nöske E, et al. Anaesthesist. 2021 Nov;70(11):937-941. doi: 10.1007/s00101-021-01007-5. Epub 2021 Jul 29. Anaesthesist. 2021. PMID: 34324036 German.

References

1. Reg Anesth Pain Med. 2007 Sep-Oct;32(5):434-9 - PubMed
1. Anesth Analg. 2011 Oct;113(4):904-25 - PubMed
1. Anaesthesist. 2007 Nov;56(11):1155-62 - PubMed
1. Acta Anaesthesiol Belg. 2012;63(1):15-21 - PubMed
1. Reg Anesth Pain Med. 2000 Nov-Dec;25(6):600-4 - PubMed

Publication types

Actions

MeSH terms

Actions
Actions
Actions
Actions
Actions
Actions

LinkOut - more resources

Full Text Sources
- Springer

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Peripheral nerve blocks on the upper extremity: Technique of landmark-based and ultrasound-guided approaches

Affiliations

Peripheral nerve blocks on the upper extremity: Technique of landmark-based and ultrasound-guided approaches

Authors

Affiliations

Abstract

Similar articles

Cited by

References

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources