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

S. Govender*, D. Möhr, Z. N. Tshabalala, A. Schoor

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Background: The aim of this description is to provide step-by-step guidelines for performing an ultrasound-guided infraclavicular brachial plexus nerve block. Methods: The brachial plexus in the infraclavicular 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 vertical infraclavicular brachial plexus blocks was developed. Conclusion: The development of high-resolution ultrasound guidance has allowed for the direct visualisation of the brachial plexus when performing nerve blocks. Ultrasound-guided infraclavicular brachial plexus nerve blocks are becoming more popular. This description aimed to provide step-by-step guidelines on how to perform this block safely and efficiently.

Original languageEnglish
Pages (from-to)17-22
Number of pages6
JournalSouthern African Journal of Anaesthesia and Analgesia
Volume26
Issue number1
DOIs
Publication statusPublished - 2020

Keywords

  • Brachial plexus
  • Infraclavicular
  • Nerve blocks
  • Ultrasound-guided

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