Language
English
Publication Date
1-1-2025
Journal
Orthopedic Reviews
DOI
10.52965/001c.133570
PMID
40176923
PMCID
PMC11964391
PubMedCentral® Posted Date
3-31-2025
PubMedCentral® Full Text Version
Post-print
Abstract
Purpose of the review: Regional anesthesia has become a cornerstone in orthopedic surgeries due to its ability to provide precise, localized pain relief while minimizing the systemic risks associated with general anesthesia and opioid use. This review aims to provide a compact guide for anesthesia trainees and practicing anesthesiologists on the use of regional anesthesia techniques for upper and lower extremity procedures.
Summary: This guide outlines the main regional block options for orthopedic surgeries, detailing the targeted anatomy, common surgical indications, important adjacent structures, and potential complications for each technique. Key blocks for upper extremity surgeries include interscalene, supraclavicular, infraclavicular, axillary, and intercostobrachial blocks, while lower extremity techniques encompass femoral, adductor canal, sciatic, popliteal, and lumbar plexus blocks. Advances in ultrasound guidance have enhanced the safety and efficacy of these techniques, making them indispensable for modern anesthesiology practice. By mastering these approaches, providers can optimize patient outcomes, expand their skillset, and contribute to enhanced perioperative care in orthopedic surgery.
Keywords
Regional anesthesia, upper extremity surgery, brachial plexus, interscalene block, supraclavicular block, infraclavicular block, axillary block, intercostobrachial block, lower extremity surgery, femoral block, adductor canal, saphenous block, sciatic block, popliteal block, lumbar plexus block
Published Open-Access
yes
Recommended Citation
Jamal Hasoon and Anvinh Nguyen, "Regional Anesthesia for Orthopedic Surgeries: A Guide for Upper and Lower Extremity Procedures" (2025). Faculty and Staff Publications. 3817.
https://digitalcommons.library.tmc.edu/baylor_docs/3817