Objectives Cervical nerves block cannot be performed on some patients because of the risk of phrenic nerve paralysis. To overcome this limitation, we discovered the site of selective only supraclavicular nerve block at the subclavian site. Case report We present the case of a 62-year-old woman with clavicular fracture. We performed a selective block of the supraclavicular nerve and the fifth ...

Background. Distal arm surgery is widely performed under regional anesthesia with brachial plexus block. The preponderance of evidence for the efficacy relies upon injection of local anesthetic in excess of 30 mL. We aimed to compare three different ultrasound-guided brachial plexus block techniques restricting the total volume to 20 mL. Methods. 120 patients were prospectively randomized to ul...

BACKGROUND AND OBJECTIVES Success rate of catheter applications is low in supraclavicular block. Thus, bupivacaine and levobupivacaine become important with their long effect time in single injection practices. In this study, we aimed to compare the effectiveness, side effects and complications of bupivacaine and levobupivacaine in supraclavicular block. METHODS Sixty patients aged between 20...

conclusions the brachial plexus block can be performed at different levels in the same patient to achieve desired results, while employing sound anatomical knowledge and adhering to the maximum safe dose limit of the local anesthetic. case presentation we present the case of a 68-year-old gentleman who had brachial plexus block at supraclavicular and interscalene levels as the sole anesthetic f...

Ultrasound-guided peripheral nerve blocks facilitate ambulatory anesthesia for upper limb surgeries. Unilateral phrenic nerve blockade is a common complication after interscalene brachial plexus block, rather than the supraclavicular block. We report a case of severe respiratory distress and bilateral bronchospasm following ultrasound-guided supraclavicular brachial plexus block. Patient did no...

The study evaluates a new approach to ultrasound-guided supraclavicular brachial plexus block using a supraclavicular parasagittal approach. Sixty outpatients scheduled for hand surgery were given brachial plexus block utilising the new approach. Time taken for block procedure was short and onset time for sensory block was rapid, using a low volume of local anaesthetic agent, with the volume de...

Introduction: Different types of additives are commonly used to prolong the duration of brachial plexus block.The present study was aimed to test the hypothesis that dexmedetomidine produces a superior analgesia, motor block and post operative analgesia when added as an adjuvant to ropivacaine 0.5% in supraclavicular brachial plexus block. Materials andMethods: A total of 100 patients (20-50 ye...

INTRODUCTION Benefits of regional anesthesia can be prolonged by adding adjuvants to local anesthetics. This study was designed to test the efficacy of adding nalbuphine to bupivacaine in supraclavicular brachial plexus blockade using ultrasound (US) guidance. METHODOLOGY This was a prospective, randomized, double-blind study involving sixty patients of either sex undergoing elective orthoped...