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  3. Ultrasound-guided Local Anaesthetic Blocks Of The Forearm

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Regional Anaesthesia

Tutorial 208

Ultrasound-guided Local Anaesthetic Blocks Of The Forearm

Dr Andrew Brennan, Dr Martin Jones, Dr Joanna Gordon

Bradford Teaching Hospitals NHS Trust, Bradford, UK.

Correspondence to andrew.brennan@bradfordhospitals.nhs.uk

10TH JANUARY 2011

Abstract

The three main nerves of the forearm – median, radial and ulnar – can easily be blocked using ultrasound-guidance with or without nerve stimulation. An in-plane needle approach is recommended. The volume of local anaesthetic required is usually 5-8ml per nerve. Circling the nerve with local anaesthetic gives the greatest chance of block success. Skilled performance of these blocks offers the potential for excellent post-operative analgesia for patients undergoing hand surgery.

creative commons

This work by WFSA is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view this license, visit https://creativecommons.org/licenses/by-nc-nd/4.0/