Expert consensus on the clinical application and perioperative management of ultrasound-guided brachial plexus block

Title: Expert consensus on the clinical application and perioperative management of ultrasound-guided brachial plexus block
Edition: Original
Classification: Experts consensus
Field: Diagnosis and Treatment
Countries and regions: China
Guidelines users: The clinical protocols recommended in this consensus apply only to Anesthesiologist, and are not a complete substitute for clinician decisions.
Evidence classification method: 1.GRADE 2.OCEBM Levels of Evidence
Development unit: 1. Department of Anesthesiology, Third Affiliated Hospital of Sun Yat-sen University; 2.Department of Anesthesiology,Xuanwu Hospital, Capital Medical University; 3. Department of Anesthesiology, Union Hospital affiliated to Fujian Medical University
Registration time: 2023-11-01
Registration number: PREPARE-2023CN842
Purpose of the guideline: Brachial plexus block is a common anesthesia and pain management method for upper extremity trauma, joint, benign or malignant lesions. Compared with general anesthesia, it has less interference to respiratory and circulatory system and is relatively simple, and is an important part of comfortable medical treatment and accelerated rehabilitation surgery management. Brachial plexus block has experienced nearly 140 years of development, and has changed from relying on anatomy and nerve stimulator localization to ultrasound guidance. Progression from non-selective nerve block to selective or targeted nerve block. Ultrasound guidance technology not only visualizes the brachial plexus anatomy, but also is the basis for accurately blocking and inspiring new approaches and techniques. Ultrasound scanning and imaging, blocking approach and technique, and concentration and volume of local anesthesia drugs are crucial to the quality and safety of brachial plexus block, and are also key to the quality of perioperative management and postoperative rehabilitation of patients, especially for elderly patients with chronic diseases. However, there are still regional differences in the clinical application of ultrasound guided brachial plexus block in China, and some techniques have not been promoted or popularized, and the perioperative management level needs to be further strengthened. In order to standardize and promote the application, help clinicians make accurate evaluation and develop individual programs, we organize a working group of experts in the field of anesthesiology and related fields in China. Based on many years of clinical experience and evidence-based medicine as evidence, through many discussions and revisions, Finally, an expert consensus on the clinical Application and perioperative management of ultrasound-guided brachial plexus Block for adults was formed for reference by anesthesiology department and related personnel.