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

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Authors

Govender, Sabashnee
Mohr, Dwayne
Tshabalala, Zithulele Nkosinathi
Van Schoor, Albert-Neels

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Medpharm Publications

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. CONCLUSIONS: 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.

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Keywords

Brachial plexus, Nerve blocks, Supraclavicular, Ultrasound-guided, Regional anatomy

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Citation

Govender, S., Möhr, D., Tshabalala, Z.N. & Van Schoor, A. 2019,'A review of the anatomy and a step-by-step visual guide to performing an ultrasound-guided supraclavicular brachial plexus block', Southern African Journal of Anaesthesia and Analgesia, vol. 25, no. 2, pp. 17-22.