Comparison of ultrasound-guided versus landmark-based techniques for peripheral nerve blocks in upper limb surgeries

TL;DR

This study compares two techniques for nerve blocks in upper limb surgeries and finds that ultrasound guidance is faster and more effective than traditional landmark-based methods.

Contribution

The study demonstrates that ultrasound-guided nerve blocks are more effective and efficient than landmark-based techniques in upper limb surgeries.

Findings

Ultrasound-guided nerve blocks had a higher success rate and faster onset compared to landmark-based techniques.

Ultrasound guidance required fewer needle redirections and provided more precise outcomes.

Both techniques had similar complication rates and operation times.

Abstract

The optimal technique for performing peripheral nerve blocks in upper-limb surgeries remains debated, particularly between ultrasound-
guided and landmark-based approaches. Therefore, it is of interest to compare nerve blocks guided by ultrasound or landmarks in surgeries
of the upper limb. Hence, 72 patients were randomly allocated into the US-guided group and landmark-based group. The ultrasound guided
group had better success rate, a more rapid onset of block and fewer number of needle redirections as compared to the landmark based group.
Both methods demonstrated comparable rates of complications and amount of operation time. The use of ultrasound guidance in the performance
of peripheral nerve blocks in upper limb surgeries was found to be faster and more effective. This study advances knowledge by demonstrating
that ultrasound-guided peripheral nerve blocks are more effective and efficient than landmark-based techniques in upper-limb surgeries,
offering faster, more precise and safer outcomes.