Sonography-Guided Peripheral Nerve Blocks for Hand Surgery.

Hand Clin · Feb 2022 · Review

Aly AM

Hand and Microsurgery Unit, Orthopaedic Department, Ain Shams University Hospital, Egypt

Hand & Upper Extremity

SUMMARY — THE REDUCTIONThis review covers sonography-guided distal peripheral nerve blocks for short hand surgeries, which improve early outcomes over general anesthesia and preserve proximal arm muscle function in patients who can tolerate a tourniquet.
Abstract, as published

Short procedures constitute a large proportion of hand surgeries. Most of them are done as 1-day surgery. Regional anesthesia is considered the best option for these operations. Compared with general anesthesia, regional anesthesia improves early outcome after wrist and hand surgery. Distal nerve blocks have the benefits of lying away from critical structures and the preservation of proximal muscle function of the upper limb. Thus, this type of nerve block is ideal for short procedures where patients can tolerate a tourniquet.

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