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OVERVIEW OF GENERAL ASPECTS OF BRACHIAL PLEXUS BLOCK FOR PAIN MANAGEMENT

Alzahrani Walid, Harthy Mohammed, Shaikh Hassan, Alrashidi Fahad, Alharbi Taghreed

Abstract: There are several techniques to blocking the brachial plexus which are dependent on the block sign, surgical treatment or procedure being done, patient-specific body habitus, medical comorbidities, and specific anatomy variations. In his review we discuss the background, available surgery aspects and contraindications to surgery. We searched MEDLINE, Embase, and PubMed, as well as the reference section of included articles published in English language through 2018, for all studies discussing the brachial plexus block for pain management. There are several sites at which the brachial plexus block can be induced in picking regional anesthesia for upper extremity operative patients. One of the most regularly made use of blocks are axillary, infraclavicular, supraclavicular, and interscalene. One must understand brachial plexus anatomy to utilize these blocks efficiently, along with the practical clinical distinctions between the blocks. Axillary brachial plexus block is most reliable for surgeries distal to the elbow. This block is caused at a distance from both the centroneuraxis and the lung; therefore, difficulties in those areas are stayed clear of. Infraclavicular block is commonly one of the most effective method of keeping a constant block of the brachial plexus, considering that the catheter is easily secured to the anterior chest.

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