Karnataka Anaesthesia Journal

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Ultrasound Guided Forearm Nerve Blocks: A Short Review


Affiliations
1 Senior Consultant Anaesthetist and Academic Co-ordinator, Department of Anaesthesiology, Columbia Asia Referral Hospital, Yeshwantpur, Bangalore – 560055, India
2 Senior Consultant Anaesthetist and Lead Clinician, Department of Anaesthesiology, Columbia Asia Hospital, Whitefield, Bangalore – 560066, India
3 Consultant Anaesthetist, Columbia Asia Referral Hospital, Yeshwantpur, Bangalore – 560055, India
 

Nerve blocks of the forearm has been used as standalone anaesthetic technique for surgeries of distal forearm and the fingers, it has also been used as a rescue technique for patchy proximal nerve blocks. The use of ultrasound has helped to identify the precise location of the nerve, avoid discomfort of multiple punctures of landmark based technique and avoids the discomfort of paraesthesia associated with the nerve stimulator. A review of the anatomy and the procedure of performing the block are detailed here.

Keywords

Median Nerve, Nerve Blocks, Pain Relief, Radial Nerve, Ultrasound, Ulnar Nerve
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  • Ultrasound Guided Forearm Nerve Blocks: A Short Review

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Authors

Subramanyam Subbarayudu Mahankali
Senior Consultant Anaesthetist and Academic Co-ordinator, Department of Anaesthesiology, Columbia Asia Referral Hospital, Yeshwantpur, Bangalore – 560055, India
M. V. Udayshankar
Senior Consultant Anaesthetist and Lead Clinician, Department of Anaesthesiology, Columbia Asia Hospital, Whitefield, Bangalore – 560066, India
Sajana Mukundan
Consultant Anaesthetist, Columbia Asia Referral Hospital, Yeshwantpur, Bangalore – 560055, India

Abstract


Nerve blocks of the forearm has been used as standalone anaesthetic technique for surgeries of distal forearm and the fingers, it has also been used as a rescue technique for patchy proximal nerve blocks. The use of ultrasound has helped to identify the precise location of the nerve, avoid discomfort of multiple punctures of landmark based technique and avoids the discomfort of paraesthesia associated with the nerve stimulator. A review of the anatomy and the procedure of performing the block are detailed here.

Keywords


Median Nerve, Nerve Blocks, Pain Relief, Radial Nerve, Ultrasound, Ulnar Nerve

References