conclusions our study showed that dexmedetomidine had better effects on sensory and motor block duration and motor block onset in comparison with ketorolac, as lidocaine adjuvants in infraclavicular brachial plexus block were present in both protocols. however, the first time to analgesic request by ketorolac was longer than dexmedetomidine. objectives the purpose of this study was to examine t...

UNLABELLED A new infraclavicular brachial plexus block method has the patient supine with an adducted arm. The target is any of the three cords behind the pectoralis minor muscle. The point of needle insertion is the intersection between the clavicle and the coracoid process. The needle is advanced 0 degrees -30 degrees posterior, always strictly in the sagittal plane next to the coracoid proce...

Interscalene block is used for shoulder surgeries however it almost always results in phrenic nerve palsy1,2. Some anaesthesiologists have described careful ultrasound guided low volume (5mls only) of local anesthetic interscalene which does not cause hemidiaphragmatic paresis3. However we present to you a case where implied recently technique sparing involving combination oblique infraclavicul...

Background Magnesium sulfate and dexmedetomidine were used as adjuvants to local anesthesia to improve the quality of regional anesthesia. Aims The aim of this study is to evaluate and compare the effects of magnesium sulfate and dexmedetomidine when added to ropivacaine on the quality of infraclavicular brachial plexus block (BPB). Settings and Design This was a prospective randomized doub...

OBJECTIVE We hypothesized that ultrasound (US)-guided technique of the supra- and infraclavicular and axillary approaches of brachial plexus block (BPB) will produce a high quality of surgical anesthesia for operations below the shoulder independently of the approach and body mass index (BMI). Intercostobrachial and medial brachial cutaneous nerves will be blocked separately because they are no...

Vertical infraclavicular brachial plexus block (VIP) as described by Kilka et al. in 1995 is becoming increasingly popular in Europe (1,2). It combines easily identifiable landmarks with a high rate of success, rapid onset of plexus blockade, no need for patient cooperation (a nerve stimulator is mandatory), and a good safety margin. Anesthesia of the hand, forearm, elbow, and upper arm, proxim...

There are multiple sites at which the brachial plexus block can be induced in selecting regional anesthesia for upper extremity surgical patients. The most frequently used blocks are axillary, infraclavicular, supraclavicular, and interscalene. One must understand brachial plexus anatomy to use these blocks effectively, as well as the practical clinical differences between the blocks. Axillary ...