Upper Extremity Nerve Blocks

  • De Q. H. Tran
  • Maria Francisca Elgueta
  • Juan Francisco Asenjo


For more than a century, brachial plexus blockade has been an indispensable tool in the regional anesthesiologist’s armamentarium. By providing surgical anesthesia and postoperative analgesia to the entire upper limb, it has been intimately linked to advances in orthopedic and ambulatory anesthesia. Furthermore, with the advent of ultrasonography, upper extremity blocks are being rediscovered under a new light. Every month, anesthesia journals report novel methods to anesthetize different parts of the brachial plexus. Navigating this plethora of studies can be a daunting task. This chapter aims to present a pragmatic and logical discussion of approaches and techniques for brachial plexus blockade.


Brachial plexus block Interscalene Supraclavicular Infraclavicular Axillary 



The authors thank Dr. Shubada Dugani for her invaluable help in acquiring the figures displayed in this chapter.


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Suggested Reading

  1. Tran DQH, Clemente A, Doan J, Finlayson RJ. Brachial plexus blocks: a review of approaches and techniques. Can J Anesth. 2007;54:662–74.CrossRefPubMedGoogle Scholar
  2. Neal JM, Gerancher JC, Hebl JR, Ilfeld BM, McCartney CJL, Franco CD, et al. Upper extremity regional anesthesia- essentials of our current understandings 2008. Reg Anesth Pain Med. 2009;34:134–70.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • De Q. H. Tran
    • 1
  • Maria Francisca Elgueta
    • 2
  • Juan Francisco Asenjo
    • 3
  1. 1.Department of AnesthesiologyMontreal General HospitalMontrealCanada
  2. 2.Department of AnesthesiaPontificia Universidad Católica de ChileSantiagoChile
  3. 3.Department of Anesthesia and Pain MedicineMcGill UniversityMontrealCanada

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