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Abstract Brachial plexus blockade is an excellent anesthetic option for upper limb surgery. when compared to general anesthesia, regional anesthesia provides a lot of benefits such as superior pain management, low incidence of nausea and vomiting, reduction of postoperative opioid consumption, decreased incidence of cognitive dysfunction, early hospital discharge, greater patient satisfaction, and enhanced cost effectiveness.Regional anesthesia, despite its well known clinical benefits, has multiple shortcomings such as inconsistent success rate, lack of simplicity, unpredictable onset time and the potential for patient discomfort or injury.The ideal in the practice of regional anesthesia would be the ability to deliver the right dose of local anesthetic precisely to the target nerve without incurring any risk of damage to the nerve or its related structures, Unfortunately, many of the negative aspects of regional anesthesia evolve from the reality that current nerve-localization techniques can be inaccurate and misleading. |