Consensus achieved for upper limb block names and anatomical descriptions
Name (%) | Anatomical description (%) | |
1 | Interscalene brachial plexus block (98) | Injection at the C5 and C6 nerve roots between anterior and middle scalene muscles (83) |
2 | Superior trunk block (92) | Injection at the superior trunk before the suprascapular nerve emerges (80) |
3 | Supraclavicular brachial plexus block (99) | Injection at the divisions of the brachial plexus immediately cephalad to the clavicle (78) |
4 | Infraclavicular brachial plexus block (82) | Injection at the cords of the brachial plexus (87) |
5 | Infraclavicular brachial plexus block (retroclavicular approach) (78) | Injection at the cords of the brachial plexus where the needle insertion is proximal to the clavicle (72) |
6 | Infraclavicular brachial plexus block (costoclavicular approach) (85) | Injection at the cords of the brachial plexus in the medial infraclavicular fossa at the first part of the axillary artery (90) |
7 | Infraclavicular brachial plexus block (coracoid approach) (85) | Injection at the cords of the brachial plexus in the lateral infraclavicular fossa at the second part of the axillary artery (82) |
8 | Axillary brachial plexus block (95) | Injection at the branches of the brachial plexus in the axillary region (66) |
9 | Suprascapular nerve block (anterior approach) (87) | Injection of the suprascapular nerve coming off superior trunk and traveling to posterior neck under the posterior belly of omohyoid muscle (84) |
10 | Suprascapular nerve block (posterior approach) (89) | Injection of the suprascapular nerve in the suprascapular notch or suprascapular fossa (84) |
11 | Deep cervical plexus block (95) | Injection at one of more of the nerve roots of C2, 3, and 4, deep to the prevertebral fascia (88) |
12 | Intermediate cervical plexus block (93) | Injection deep to the investing fascia and superficial to the prevertebral fascia at the midpoint of the posterior border of sternocleidomastoid muscle (93) |
13 | Superficial cervical plexus block (98) | Injection superficial to the investing fascia at the midpoint of the posterior border of sternocleidomastoid muscle (85) |
Strong consensus (≥75% agreement) was achieved for all block names and anatomical descriptions except for descriptions for the infraclavicular brachial plexus block (retroclavicular approach) and axillary brachial plexus block, which had weak consensus (50%–74% agreement).