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Current Anesthesiology Reports

Published in:

01-09-2019 | Ultrasound | Regional Anesthesia (P Kukreja, Section Editor)

Upper Limb Blocks: Advances in Anesthesiology Research

Authors: Lane Crawford, Jason Zatkoff, Rajnish K. Gupta

Published in: Current Anesthesiology Reports | Issue 3/2019

Abstract

Purpose of Review

To summarize the recent literature regarding regional anesthesia of the upper extremity.

Recent Findings

Brachial plexus anatomy is more variable than previously believed. Several novel techniques for upper extremity blockade have been recently described. The ability of local anesthetic adjuvants and liposomal bupivacaine to prolong block duration has been investigated with mixed results. Regional anesthesia has played an important role in the expansion of ambulatory upper extremity surgery, especially shoulder arthroscopy and arthroplasty. Knowledge about the management of local anesthetic systemic toxicity remains essential for the safe performance of upper extremity blocks.

Summary

The widespread adoption of ultrasound guidance for nerve blocks and the increasing emphasis on value in healthcare have fostered numerous innovations in regional anesthesia of the upper extremity in recent years. Further research is needed to determine the best technique for diaphragm-sparing shoulder analgesia and the most appropriate role for liposomal bupivacaine.

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Title: Upper Limb Blocks: Advances in Anesthesiology Research
Authors: Lane Crawford
Jason Zatkoff
Rajnish K. Gupta
Publication date: 01-09-2019
Publisher: Springer US
Keywords: Ultrasound
Shoulder Arthroscopy
Ultrasound
Nerve Block
Published in: Current Anesthesiology Reports / Issue 3/2019
Electronic ISSN: 2167-6275
DOI: https://doi.org/10.1007/s40140-019-00339-8

At a glance: The STEP trials

Springer Medicine

Upper Limb Blocks: Advances in Anesthesiology Research

Abstract

Purpose of Review

Recent Findings

Summary

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose of Review

Recent Findings

Summary

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