Supraclavicular nerve block: anatomic analysis of a method to prevent pneumothorax

Anesthesia and Analgesia
D L BrownL D Bridenbaugh

Abstract

Supraclavicular nerve blocks are technically easy to perform, but may be associated with pneumothorax. The objective of this study is to define the parasagittal anatomy important to our modified technique of supraclavicular nerve block designed to decrease the incidence of pneumothorax and to determine whether this technique is anatomically sound. Two cadaver specimens were studied. One embalmed specimen was dissected to establish the relationship of the brachial plexus to our modified needle entry site. The neck and upper thorax of an unembalmed cadaver were frozen, and parasagittal serial sections were made to establish the relationship of the brachial plexus to surface features and the chest cavity. Additionally, 12 volunteers underwent magnetic resonance (MR) imaging and anatomic measurements of their supraclavicular anatomy important to our modified block. MR imaging showed that in no instance using our modified technique was the lung contacted by the simulated needle before entering either the subclavian artery or contacting the brachial plexus. Our technique has been used in more than 110 patients without pneumothorax. The combination of our cadaver and magnetic resonance data suggests that our plumb-bob technique of sup...Continue Reading

Citations

Jan 12, 2001·Anaesthesia and Intensive Care·P B Cornish
Apr 14, 2010·Anaesthesia·K RussonW Harrop-Griffiths
Apr 14, 2010·Anaesthesia·H WillschkeP-A Lönnqvist
Jan 24, 2015·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·T Kyle HarrisonEdward R Mariano
Aug 1, 2020·Acupuncture in Medicine : Journal of the British Medical Acupuncture Society·Kwan Leung ChiaRainer Viktor Haberberger
Jan 23, 1999·Anesthesia and Analgesia·M NishiyamaY Amaki
Jul 1, 1997·Anesthesia and Analgesia·C Pham-DangM Pinaud
May 26, 2010·Korean journal of anesthesiology·Chun Woo YangHelen Ki Shinn
Aug 21, 2013·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Asma MianMarios Loukas
May 19, 1998·Anesthesia and Analgesia·L VizquelM R Benani
May 13, 1999·Anesthesia and Analgesia·P B CornishL Allan
Oct 23, 2003·Anesthesia and Analgesia·Vincent W S ChanOlusegun Odukoya
Feb 1, 1997·Anesthesia and Analgesia·P Vongvises, N Beokhaimook
Mar 14, 2009·Regional Anesthesia and Pain Medicine·Anahi PerlasReena Karkhanis
Oct 23, 2003·Anesthesia and Analgesia·Stephan R WilliamsFrançois Girard
Mar 14, 2009·Regional Anesthesia and Pain Medicine·Joseph M NealQuinn H Hogan
Oct 1, 2011·International Anesthesiology Clinics·Andrew T Gray, John J Laur
Oct 1, 2010·International Anesthesiology Clinics·Brian D O'Donnell, Gabriella Iohom
Dec 24, 2015·Regional Anesthesia and Pain Medicine·Joseph M Neal
May 11, 2012·Acta Anaesthesiologica Scandinavica·T KjelstrupP K Hol
Mar 29, 2007·Acta Anaesthesiologica Scandinavica·R GuptaJ Watt
Feb 28, 2009·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Ban C H TsuiDerek Dillane
Jun 25, 2005·Anesthesia and Analgesia·Oivind KlaastadHans-Jørgen Smith
Oct 15, 2020·Journal of Medical Primatology·Ana Yasha Ferreira de La SallesDanilo José A Menezes
Sep 27, 2002·Anesthesiology Clinics of North America·Bruce Ben-David
May 26, 2009·Annales Françaises D'anesthèsie Et De Rèanimation·A LasserreB Fontaine

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