Abstract
First described in 1978, ultrasound-guided peripheral nerve blockade continues as a new and rapidly growing field in anesthesiology, due in part to the advent of more advanced ultrasound technology developed in the 1990s. This chapter describes commonly performed ultrasound-guided techniques in an easy to follow step-by-step manner. The chapter goals are to impart a recognition and appreciation of how ultrasound use in peripheral nerve block procedures may enhance the application of understanding of human anatomy by anesthesia practitioners and clinicians. Additional references are needed to better understand ultrasound terminology, physics of ultrasound, ultrasound probe selection and equipment, ultrasound knobology, and how to optimize image quality.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Further Reading
Ballantyne JC, Carr DB, et al. The comparative effects of postoperative analgesic therapies on pulmonary outcome: cumulative meta-analyses of randomized, controlled trials. Anesth Analg. 1998;86:598–612.
Beattie WS, Badner NH, Choi P. Epidural analgesia reduces postoperative myocardial infarction: a meta-analysis. Anesth Analg. 2001;93:853–8.
Bigeleisen P, Wilson M. A comparison of two techniques for ultrasound guided infraclavicular block. Br J Anaesth. 2006;96:502–7.
Cash CJC, Sardesai AM, et al. Spatial mapping of the brachial plexus using three-dimensional ultrasound. Br J Radiol. 2005;78:1086–94.
Franco CD, Vieira ZE. 1,001 subclavian perivascular brachial plexus blocks: success with a nerve stimulator. Reg Anesth Pain Med. 2000;25(1):41–6.
Marhofer P, Chan VW, Marhofer P, Chan VWS. Ultrasound guided regional anesthesia: current concepts and future trends. Anesth Analg. 2007;104:1265–9.
Schafhalter-Zoppoth I, Younger SJ, et al. The “seesaw” sign: improved sonographic identification of the sciatic nerve. Anesthesiology. 2004;101:808–9.
Sites BD, Brull R. Ultrasound guidance in peripheral regional anesthesia: philosophy, evidence-based medicine and techniques. Curr Opin Anaesthesiol. 2006;19:630–9.
Silvestri E, Martinoli C, et al. Echotexture of peripheral nerves: correlation between US and histologic findings and criteria to differentiate tendons. Radiology. 1995;197:291–6.
Urwin SC, Parker MJ, Griffiths R. General versus regional anesthesia for hip fracture surgery: a meta-analysis of randomized trials. Br J Anaesth. 2000;84:450–5.
Winnie AP, Collins VJ. The subclavian perivascular technique of brachial plexus anesthesia. Anesthesiology. 1964;25:353–63.
Wu CL, Hurley RW, Anderson GF, Herbert R, Rowlingson AJ, Fleisher LA. Effect of postoperative epidural analgesia on morbidity and mortality following surgery in medicare patients. Reg Anesth Pain Med. 2004;29:525–33.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer Science+Business Media New York
About this chapter
Cite this chapter
Halaszynski, T.M., Tom, M. (2015). Ultrasound-Guided Peripheral Nerve Blocks. In: Sikka, P., Beaman, S., Street, J. (eds) Basic Clinical Anesthesia. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1737-2_23
Download citation
DOI: https://doi.org/10.1007/978-1-4939-1737-2_23
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4939-1736-5
Online ISBN: 978-1-4939-1737-2
eBook Packages: MedicineMedicine (R0)