Supraclavicular Approach to Brachial Plexus Block Using Fluoroscopic Anatomic Landmarks and Nerve Stimulation
نویسندگان
چکیده
منابع مشابه
Supraclavicular approach to brachial plexus block using fluoroscopic anatomic landmarks and nerve stimulation.
Irritation of neural structures, specifically the brachial plexus outside of the cervical spine is capable of producing pain in the upper extremity. These pain patterns may be similar to pain originating from the cervical spine, presenting a diagnostic challenge. Brachial plexus block is performed at multiple levels, including interscalene, supraclavicular, infraclavicular, and axillary. Inters...
متن کاملUSING PHYSICAL EXAMINATION IN SUPRACLAVICULAR BRACHIAL PLEXUS BLOCK WITH MODIFIED PARASCALENE APPROACH
Background: Because nerve stimulators are not always available for brachial plexus block, fmding the right injection spot for nerve blocks is important. In this study we used physical examination to determine the appropriate spot for injection. Methods: All patients who were candidates for upper extremity surgery and were either in class ASA I or ASA II, were selected. Paresthesia was elici...
متن کاملUltrasound-guided supraclavicular brachial plexus block.
UNLABELLED In this study, we evaluated state-of-the-art ultrasound technology for supraclavicular brachial plexus blocks in 40 outpatients. Ultrasound imaging was used to identify the brachial plexus before the block, guide the block needle to reach target nerves, and visualize the pattern of local anesthetic spread. Needle position was further confirmed by nerve stimulation before injection. T...
متن کاملSupraclavicular brachial plexus block using a nerve stimulator and an insulated needle.
A technique employing a nerve stimulator and an insulated needle was used for supraclavicular brachial plexus block in 71 patients using 0.5% plain bupivacaine 15-20 ml. The mean minimal stimulating current to produce paraesthesia was 0.09 mA. The plexus was identified at a mean depth of 27 mm below the skin. The block was successful in 98% of patients when the stimulation was felt in the index...
متن کاملAnatomic Variation of Subclavian Artery Visualized on Ultrasound-Guided Supraclavicular Brachial Plexus Block
Use of ultrasonography for performance of nerve and plexus blocks has made the process simpler and safer. However, at times, variant anatomy of the visualized structures can lead to failure of blocks or complications such as intravascular injections. This is especially true in case of novice operators. We report a case of a variant branch of subclavian artery, possibly the dorsal scapular arter...
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ژورنال
عنوان ژورنال: April 2003
سال: 2003
ISSN: 2150-1149,1533-3159
DOI: 10.36076/ppj.2003/6/191