What does supraclavicular block coverage?

The supraclavicular block is used for surgeries or postoperative pain control for the upper extremities. It is best for areas below the mid-humerus level. Above the mid-humerus, the shoulder area, an interscalene block would provide better coverage. However, if enough volume is used it can diffuse to the shoulder area.

What is supraclavicular block?

The supraclavicular block is a regional anesthetic technique used as an alternative or adjunct to general anesthesia or used for postoperative pain control for upper extremity surgeries (mid-humerus through the hand).

How long does a supraclavicular block last?

Single injections last about 8 to 16 hours. Consider taking pain medication at bedtime, so that you are likely to have a comfortable night’s sleep as the SB wears off. For CSBs, catheters usually stay in place and provide relief for 4 days.

How long does an axillary block last?

The axillary block is a very safe and effective method for providing surgical anesthesia for the upper extremity. The numbness and heaviness lasts from 4 to 18 hours, depending on the medicines used.

What nerves does a supraclavicular block?

The supraclavicular block, first described by Kulenkampf, provides a consistent homogenous blockade of the entire upper extremity without preferentially sparing the cephalad (musculocutaneous) or caudad (ulnar) nerves of the brachial plexus.

What nerve is spared in supraclavicular block?

ulnar nerve
Background. The corner pocket (CP) approach for supraclavicular block (SCB) prevents ulnar nerve (UN) sparing due to needle proximity to the lower trunk.

Is axillary block painful?

The axillary block is a very safe and effective method for providing surgical anesthesia for the upper extremity. The numbness and heaviness lasts from 4 to 18 hours, depending on the medicines used. Most patients will have a bruise in their armpit which is painful to touch for a few days.

What is an ultrasound-guided continuous supraclavicular nerve block?

The ultrasound-guided continuous supraclavicular nerve block is in many ways similar to the technique used for interscalene catheter placement. The goal is to place the catheter within the vicinity of the trunks and divisions of the brachial plexus adjacent to the subclavian artery.

What is the supraclavicular approach to the brachial plexus blockade?

The supraclavicular approach to the brachial plexus blockade results in anesthesia of the upper limb including often the shoulder because all trunks and divisions can be anesthetized from this location.

What is the needle position for double-injection perivascular ultrasoundguided axillary brachial plexus block?

Cho S, Kim YJ, Kim JH, Baik HJ: Double-injection perivascular ultrasoundguided axillary brachial plexus block according to needle positioning: 12 versus 6 o’clock position of the axillary artery. Korean J Anesthesiol 2014;66:112–119.

Does ultrasound-guided infraclavicular brachial plexus block enhance postoperative blood flow in fistulas?

Sahin L, Gul R, Mizrak A, et al: Ultrasound-guided infraclavicular brachial plexus block enhances postoperative blood flow in arteriovenous fistulas. J Vasc Surg 2011;54:749–753.