Ultrasound-guided forearm selective nerve block: A bright future on the horizon
Journal Title: Perioperative Precision Medicine - Year 2024, Vol 2, Issue 3
Abstract
Objective: In light of the advancement of modern medicine, anesthesiologists and surgeons are increasingly prioritizing patient comfort in diagnostic and therapeutic procedures. A growing body of research revolves around the utilization of ultrasound-guided forearm selective nerve blocks for surgeries involving the distal upper limb. This review aims to provide an overview of regional anesthesia techniques in forearm, hand, and wrist surgeries, laying a theoretical foundation for the prospects of ultrasound-guided forearm selective nerve blocks in optimizing comfort during diagnostic and therapeutic procedures. Methods: A retrospective review of literature sourced from the PubMed database was conducted to comprehensively evaluate and elucidate the advantages and drawbacks of ultrasound-guided forearm selective nerve blocks, brachial plexus blocks, Bier blocks, and wrist blocks. Additionally, a summary was provided regarding the selection of local anesthetics for ultrasound-guided forearm selective nerve blocks. Results: Overall, ultrasound-guided forearm selective nerve block techniques exhibit several advantages over Bier's block, brachial plexus block, and wrist block for the majority of forearm, wrist, and hand surgeries. These advantages include reduced anesthesia-related time, prolonged duration of analgesia, and minimal impairment of upper extremity motor function. Consequently, these techniques enhance surgical safety and facilitate postoperative recovery. Furthermore, the addition of dexmedetomidine or dexamethasone to ultrasound-guided selective nerve blocks of the forearm could extend the duration of analgesia. Conclusion: Ultrasound-guided forearm selective nerve block is a straightforward and conducive anesthesia method for distal upper limb surgeries, aligning with the principles of fast surgical recovery and enhanced patient comfort during diagnostic and therapeutic procedures. Given its manifold benefits, widespread promotion and adoption of this technique in clinical practice are warranted.
Authors and Affiliations
Ziwei Xia, Guangkuo Ma, Huanjia Xue, Hui Wu, Liwei Wang, Kai Wang
Keywords
Related Articles
- EP ID EP750288
- DOI 10.61189/768941essmpc
- Views 23
- Downloads 0
The interaction of Candida albicans with C-type lectin receptors
Candida albicans (C. albicans) is a ubiquitous commensal in the mammalian flora and the most prevalent fungal pathogen of humans. As an opportunistic fungus, C. albicans can cause mucosal and invasive infections. Invasiv...
Roles of post-translational modifications of C-type lectin receptor-induced signaling cascades in innate immune responses against Candida albicans
Candida albicans (C. albicans), a conditional pathogenic fungus, is widespread in nature and can live in symbiosis with organisms in small quantities. When the normal microflora is imbalanced, the epithelial barrier is d...
Progress of artificial intelligence in anesthesia and perioperative medicine
Perioperative medicine is a series of medical activities throughout the perioperative period, including preoperative optimization, intraoperative safety, postoperative rehabilitation, and other activities. Anesthesia is...
Progress of end-tidal carbon dioxide monitoring in non-intubated patients
End-tidal carbon dioxide (ETCO2) monitoring is an important tool for assessing respiratory and circulatory status of patients. It has become an integral component of perioperative anesthesia care in patients undergoing g...
Research progress of digital therapy in pain management
Pain significantly impacts both the physical and mental well-being of individuals and imposes a substantial burden on society. Traditional pain management approaches are diverse but often fall short in adequately address...