Regional anaesthesia

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 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

OutcomePFB
Postoperative complications1 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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