A review of the anatomy and a step-by-step visual guide to performing an ultrasound-guided supraclavicular brachial plexus block

Author:

Govender S1ORCID,Möhr D2,Tshabalala ZN2ORCID,Van Schoor AN2ORCID

Affiliation:

1. Sefako Makgatho Health Sciences University

2. University of Pretoria

Abstract

Background: The aim of this description is to provide step-by-step guidelines for performing an ultrasound-guided supraclavicular brachial plexus nerve block. Methods: The brachial plexus in the supraclavicular fossa of sixty healthy volunteers was scanned in the horizontal/transverse plane. The relevant regional anatomy was studied to identify the muscular and vascular structures seen on the ultrasound screen. Results: The entire process was documented and a standard, step-by-step guide to performing ultrasound-guided supraclavicular brachial plexus blocks was developed. Conclusion: This description serves as a comprehensive guide to a technique for performing ultrasound-guided supraclavicular brachial plexus blocks safely and successfully. It also aims to provide the reader with the background knowledge of the technique and the surrounding regional anatomy.

Publisher

Medpharm Publications

Subject

Anesthesiology and Pain Medicine

Reference17 articles.

1. Bharti N, Bhardawaj N, Wig J. Comparison of ultrasound-guided supraclavicular, infraclavicular and below-C6 interscalene brachial plexus block for upper limb surgery: a randomised, observer-blinded study. Anaesth Intensive Care. 2015;43(4):468-72.

2. Wankhade H, Chauhan VP, Parikh R, Saxena AK. Ultrasound-guided supraclavicular brachial plexus block for the upper limb fracture or dislocation reduction in emergency in emergency department. IRPMS. 2017;2(5):16-21.

3. Möhr D. When will the sonar ping reach our shores? SA J Anaesth Analg. 2010;16(3):4.

4. The New York School of Regional Anaesthesia. Available form: www.nysora.com. Cited 20 February 2011. Accessed 12 April 2016.

5. Pham Dang C, Gunst JP, Gouin F, et al. A novel supraclavicular approach to brachial plexus block. Anaesth Analg. 1997;85(1):111-6.

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