The fascial plane blocks in the upper arm surgery and trauma: A narrative review
Authors' conclusion
This study shows how fascial plane blocks in upper limb surgery are changing
Study context
- Population
- Patients with upper arm surgery or trauma receiving fascial plane blocks
Methodological detailsResearch from the last 10 years: RCTs, observational studies and case reports; cervical and high-thoracic erector spinae plane (ESP), clavipectoral fascia plane (CFP), superior posterior serratus intercostal plane (SPSIP) and PENG shoulder blocks
- Research from the last 10 years: RCTs, observational studies and case reports; cervical and high-thoracic ESP, CFP, SPSIP and PENG shoulder blocks
Main finding
As reported in the abstract
- High-thoracic ESP block provided pain relief, often with continuous catheter infusion
- Tendency toward combining fascial blocks with each other or with peripheral nerve blocks to cover more area and reduce opioid use
- Few RCTs; data mostly low-quality
Safety
Potential complications (local anesthetic systemic toxicity (LAST), unintentional spread to important anatomical areas)
- Risk exists although not reported
Original publication
The fascial plane blocks in the upper arm surgery and trauma: A narrative review. J Clin Anesth. Published 27 December 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →