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Brachial Plexus Blocks

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Pain Medicine

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Abstract

: Typically used as a primary anesthetic or for postoperative pain control for procedures on the upper extremity, with block site dependent on location of procedure. May also be performed for acute pain control associated with trauma or chronic pain (CPRS, Raynaud’s, peripheral neuropathy).

CPT:

Single shot:

Interscalene/supraclavicular/infraclavicular: 64415

Axillary block: 64417

Continuous catheter block: 64416

Ultrasound guidance: 76942

Professional service component, modifier—26

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Additional Reading

  • Bernucci F, Gonzalez AP, Finlayson RJ, Tran DQH. A prospective, randomized comparison between perivascular and perineural ultrasound-guided axillary brachial plexus block [Internet]. Reg Anesth Pain Med. 2012;37:473–7.

    Article  PubMed  Google Scholar 

  • Hadzic A, Williams BA, Karaca PE, et al. For outpatient rotator cuff surgery, nerve block anesthesia provides superior same-day recovery over general anesthesia. Anesthesiology. 2005;102:1001–7.

    Article  CAS  PubMed  Google Scholar 

  • Kwofiea K, Shastrib U, Vandepitte C. Standard approaches for upper extremity nerve blocks with an emphasis on outpatient surgery. Curr Opin Anesthesiol. 2013;26(4):501–8.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital, 75 Francis Street, Boston, 02115, MA, USA

    David Ende MD & Jose Luis Zeballos MD

Authors
  1. David Ende MD
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  2. Jose Luis Zeballos MD
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Corresponding author

Correspondence to David Ende MD .

Editor information

Editors and Affiliations

  1. Department of Anesthesiology Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston, Massachusetts, USA

    R. Jason Yong

  2. Department of Anesthesia and Perioperative Medicine, Brigham and Women’s Hospital/Harvard Medical School, Boston, Massachusetts, USA

    Michael Nguyen

  3. Department of Anesthesiology Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston, Massachusetts, USA

    Ehren Nelson

  4. Harvard Medical School, Brigham and Women’s Health Care Center at Chestnut Hill, Center for Perioperative Research, Sedation for Interventional Medicine, Brigham and Women’s Hospital, Boston, Massachusetts, USA

    Richard D. Urman

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© 2017 Springer International Publishing Switzerland

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Cite this chapter

Ende, D., Zeballos, J.L. (2017). Brachial Plexus Blocks. In: Yong, R., Nguyen, M., Nelson, E., Urman, R. (eds) Pain Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-43133-8_83

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  • DOI: https://doi.org/10.1007/978-3-319-43133-8_83

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43131-4

  • Online ISBN: 978-3-319-43133-8

  • eBook Packages: MedicineMedicine (R0)

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