Ultrasound-Guided Interscalene Brachial Plexus Block

I will show you a movie of ultrasound guided intersalene brachial plexus block performed at the level between the sternocleidomastoid muscle and the clavicle. This approach provides anesthesia of shoulder, arm, elbow, hand.

Category:

Education

Tags:

• ultrasound
• guided
• interscalene
• brachial
• plexus
• block

[pnbsiva]

I almost always perform this low interscalene block. I check whether local anesthetic spreads around the bracheal plexus in the supraclavicular region during local anesthetic injection as well as after local anesthetic injection. I almost always get good local anesthetic spread. When I find that I won't get good local anesthetic injection during the procedure, I move the needle tip placement to get good local anethetic spread.

[pnbsiva]

I call this technique low interscalene block. Low interscalene block is thought of as the anterior approach of cervical paravertebral block, which can block all branches of the brachial plexus.

[davedidashit]

Two complaints. Shit guitar music. Approach from the posterior is safer.

[sushley]

how many have tried this ? Any comments ?

[9312699286]

I fill insertng the neadly in direct vertical direction will be more safe as it will avoid pherenic noerve and a smaller path will be traversed by the needle.

[rodgero]

Excellent video.

How did the block work?