Ultrasound-guided distal peripheral nerve blocks of the ulnar, median, and radial nerves in hand and wrist surgery: a descriptive case series
Authors' conclusion
This descriptive case series demonstrates the feasibility of US-DPNB as a primary anesthetic technique for short-duration ambulatory hand and wrist procedures, with low complication rates and high patient satisfaction.
Study context
- Population
- Patients undergoing hand or wrist surgery at an outpatient surgical center
- Participants
- 50 patients
- Exposure
- Distal vs proximal forearm US-DPNB of ulnar, median and radial nerves
- Outcome
- Pain scale (1 to 5), block performance time, and postoperative complications
- Follow-up
- Up to five days post-surgery
Methodological detailsoutpatient surgical center, descriptive statistics only
- Outpatient surgical center
- Descriptive statistics only
Main finding
As reported in the abstract
Block performance time
DFB
95.59
average · s
PFB
73.9
mean · s
Observational data: associations, not effects.
Safety
| Outcome | PFB |
|---|---|
| Postoperative complications | 1 events |
- Postoperative complications — Only recorded complication: PONV in one PFB patient
- 1
Original publication
Ultrasound-guided distal peripheral nerve blocks of the ulnar, median, and radial nerves in hand and wrist surgery: a descriptive case series. Perioper Med (Lond). Published 13 July 2026. doi:10. 1186/ s13741-026-00712-2
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