upper-extremity peripheral nerve blocks in the perioperative pain management of orthopaedic patients...
TRANSCRIPT
![Page 1: Upper-Extremity Peripheral Nerve Blocks in the Perioperative Pain Management of Orthopaedic Patients by Umasuthan Srikumaran, Benjamin E. Stein, Eric W](https://reader030.vdocuments.us/reader030/viewer/2022032612/56649ed95503460f94be721a/html5/thumbnails/1.jpg)
Upper-Extremity Peripheral Nerve Blocks in the Perioperative Pain Management of Orthopaedic Patients
by Umasuthan Srikumaran, Benjamin E. Stein, Eric W. Tan, Michael T. Freehill, and John H. Wilckens
J Bone Joint Surg AmVolume 95(24):e197December 18, 2013
©2013 by The Journal of Bone and Joint Surgery, Inc.
![Page 2: Upper-Extremity Peripheral Nerve Blocks in the Perioperative Pain Management of Orthopaedic Patients by Umasuthan Srikumaran, Benjamin E. Stein, Eric W](https://reader030.vdocuments.us/reader030/viewer/2022032612/56649ed95503460f94be721a/html5/thumbnails/2.jpg)
Brachial plexus anatomy.
Umasuthan Srikumaran et al. J Bone Joint Surg Am 2013;95:e197
©2013 by The Journal of Bone and Joint Surgery, Inc.
![Page 3: Upper-Extremity Peripheral Nerve Blocks in the Perioperative Pain Management of Orthopaedic Patients by Umasuthan Srikumaran, Benjamin E. Stein, Eric W](https://reader030.vdocuments.us/reader030/viewer/2022032612/56649ed95503460f94be721a/html5/thumbnails/3.jpg)
The dermatomes anesthetized are shown in dark blue.
Umasuthan Srikumaran et al. J Bone Joint Surg Am 2013;95:e197
©2013 by The Journal of Bone and Joint Surgery, Inc.
![Page 4: Upper-Extremity Peripheral Nerve Blocks in the Perioperative Pain Management of Orthopaedic Patients by Umasuthan Srikumaran, Benjamin E. Stein, Eric W](https://reader030.vdocuments.us/reader030/viewer/2022032612/56649ed95503460f94be721a/html5/thumbnails/4.jpg)
Surface anatomy of the neck showing the relative midpoint (x) of the posterior border of the sternocleidomastoid muscle (solid line).
Umasuthan Srikumaran et al. J Bone Joint Surg Am 2013;95:e197
©2013 by The Journal of Bone and Joint Surgery, Inc.
![Page 5: Upper-Extremity Peripheral Nerve Blocks in the Perioperative Pain Management of Orthopaedic Patients by Umasuthan Srikumaran, Benjamin E. Stein, Eric W](https://reader030.vdocuments.us/reader030/viewer/2022032612/56649ed95503460f94be721a/html5/thumbnails/5.jpg)
The dermatomes anesthetized are shown in dark blue.
Umasuthan Srikumaran et al. J Bone Joint Surg Am 2013;95:e197
©2013 by The Journal of Bone and Joint Surgery, Inc.
![Page 6: Upper-Extremity Peripheral Nerve Blocks in the Perioperative Pain Management of Orthopaedic Patients by Umasuthan Srikumaran, Benjamin E. Stein, Eric W](https://reader030.vdocuments.us/reader030/viewer/2022032612/56649ed95503460f94be721a/html5/thumbnails/6.jpg)
The highlight shows the region of the brachial plexus (nerve roots and root-trunk transition) targeted by an interscalene nerve block.
Umasuthan Srikumaran et al. J Bone Joint Surg Am 2013;95:e197
©2013 by The Journal of Bone and Joint Surgery, Inc.
![Page 7: Upper-Extremity Peripheral Nerve Blocks in the Perioperative Pain Management of Orthopaedic Patients by Umasuthan Srikumaran, Benjamin E. Stein, Eric W](https://reader030.vdocuments.us/reader030/viewer/2022032612/56649ed95503460f94be721a/html5/thumbnails/7.jpg)
Surface anatomy.
Umasuthan Srikumaran et al. J Bone Joint Surg Am 2013;95:e197
©2013 by The Journal of Bone and Joint Surgery, Inc.
![Page 8: Upper-Extremity Peripheral Nerve Blocks in the Perioperative Pain Management of Orthopaedic Patients by Umasuthan Srikumaran, Benjamin E. Stein, Eric W](https://reader030.vdocuments.us/reader030/viewer/2022032612/56649ed95503460f94be721a/html5/thumbnails/8.jpg)
The dermatomes anesthetized are shown in dark blue.
Umasuthan Srikumaran et al. J Bone Joint Surg Am 2013;95:e197
©2013 by The Journal of Bone and Joint Surgery, Inc.
![Page 9: Upper-Extremity Peripheral Nerve Blocks in the Perioperative Pain Management of Orthopaedic Patients by Umasuthan Srikumaran, Benjamin E. Stein, Eric W](https://reader030.vdocuments.us/reader030/viewer/2022032612/56649ed95503460f94be721a/html5/thumbnails/9.jpg)
The highlight shows the region of the brachial plexus (trunks) targeted by a supraclavicular nerve block.
Umasuthan Srikumaran et al. J Bone Joint Surg Am 2013;95:e197
©2013 by The Journal of Bone and Joint Surgery, Inc.
![Page 10: Upper-Extremity Peripheral Nerve Blocks in the Perioperative Pain Management of Orthopaedic Patients by Umasuthan Srikumaran, Benjamin E. Stein, Eric W](https://reader030.vdocuments.us/reader030/viewer/2022032612/56649ed95503460f94be721a/html5/thumbnails/10.jpg)
Surface anatomy.
Umasuthan Srikumaran et al. J Bone Joint Surg Am 2013;95:e197
©2013 by The Journal of Bone and Joint Surgery, Inc.
![Page 11: Upper-Extremity Peripheral Nerve Blocks in the Perioperative Pain Management of Orthopaedic Patients by Umasuthan Srikumaran, Benjamin E. Stein, Eric W](https://reader030.vdocuments.us/reader030/viewer/2022032612/56649ed95503460f94be721a/html5/thumbnails/11.jpg)
The dermatomes anesthetized are shown in dark blue.
Umasuthan Srikumaran et al. J Bone Joint Surg Am 2013;95:e197
©2013 by The Journal of Bone and Joint Surgery, Inc.
![Page 12: Upper-Extremity Peripheral Nerve Blocks in the Perioperative Pain Management of Orthopaedic Patients by Umasuthan Srikumaran, Benjamin E. Stein, Eric W](https://reader030.vdocuments.us/reader030/viewer/2022032612/56649ed95503460f94be721a/html5/thumbnails/12.jpg)
The highlight shows the region of the brachial plexus (cords) targeted by an infraclavicular nerve block.
Umasuthan Srikumaran et al. J Bone Joint Surg Am 2013;95:e197
©2013 by The Journal of Bone and Joint Surgery, Inc.
![Page 13: Upper-Extremity Peripheral Nerve Blocks in the Perioperative Pain Management of Orthopaedic Patients by Umasuthan Srikumaran, Benjamin E. Stein, Eric W](https://reader030.vdocuments.us/reader030/viewer/2022032612/56649ed95503460f94be721a/html5/thumbnails/13.jpg)
Surface anatomy.
Umasuthan Srikumaran et al. J Bone Joint Surg Am 2013;95:e197
©2013 by The Journal of Bone and Joint Surgery, Inc.
![Page 14: Upper-Extremity Peripheral Nerve Blocks in the Perioperative Pain Management of Orthopaedic Patients by Umasuthan Srikumaran, Benjamin E. Stein, Eric W](https://reader030.vdocuments.us/reader030/viewer/2022032612/56649ed95503460f94be721a/html5/thumbnails/14.jpg)
The dermatomes anesthetized are shown in dark blue.
Umasuthan Srikumaran et al. J Bone Joint Surg Am 2013;95:e197
©2013 by The Journal of Bone and Joint Surgery, Inc.
![Page 15: Upper-Extremity Peripheral Nerve Blocks in the Perioperative Pain Management of Orthopaedic Patients by Umasuthan Srikumaran, Benjamin E. Stein, Eric W](https://reader030.vdocuments.us/reader030/viewer/2022032612/56649ed95503460f94be721a/html5/thumbnails/15.jpg)
The highlight shows the region of the brachial plexus (terminal branches) targeted by an axillary nerve block.
Umasuthan Srikumaran et al. J Bone Joint Surg Am 2013;95:e197
©2013 by The Journal of Bone and Joint Surgery, Inc.
![Page 16: Upper-Extremity Peripheral Nerve Blocks in the Perioperative Pain Management of Orthopaedic Patients by Umasuthan Srikumaran, Benjamin E. Stein, Eric W](https://reader030.vdocuments.us/reader030/viewer/2022032612/56649ed95503460f94be721a/html5/thumbnails/16.jpg)
Surface anatomy.
Umasuthan Srikumaran et al. J Bone Joint Surg Am 2013;95:e197
©2013 by The Journal of Bone and Joint Surgery, Inc.