Supraclavicular Brachial Plexus Block

In this video, we discuss the anatomy, indications, and technique for ultrasound guided supraclavicular brachial plexus block

[sarenshof]

I would like to give you a compliment for your video series of regional blocks: they are very practice oriented and instructive with nice drawings. They have clear ultrasound images, the videos are short and concise - very apt to quickly verify the how to do's - and because of its conciseness I even use them in stead of the also very informative NYSORA-pages.
I would say: no block before consulting Duke Regional Anesthesiology!
Thank you from the Almere, the Netherlands

[DontEatCream]

That is a beautiful block, with excellent technique. Very nice!

[PowerUpJohn]

I have had this a couple of times for shoulder // arm orthopedic surgery and am quite impressed with the amount of pain relief it provides. I had almost zero pain post-op and got a bit of a giggle as my arm was completely paralyzed for 1-2 days after.

[dbash]

Thank you for making this high quality helpful video. I did notice that as opposed to this video the NYSORA video and website stated that needle should be placed within the brachial plexus sheath.

[richardshoenfeld]

Excellent teaching video, particularly with respect to use of hydrodissection and avoiding violation of the plexus sheath. Comment on quantity of local anesthetic to use to improve chances of block success was greatly appreciated.

[georgeking]

Wondering how long it takes for this method of not entering the sheath to work?

[niranjanm]

Is there grading for upper limb blocks for sensory and motor onset (like modified bromage scale for lower limbs)?

[tinuskaaaa]

Hi guys, thanks for excellent video. If you use for example 30 ml LA, do you add adrenalin to your LA as well? Becasue it looks like a volume block, if you use 30 ml and I mean it as a prevention to LAST. Thx

[johannorozco]

How do you block Intercostobrachial Nerve?

[jxij]

is supraclavicular and infraclavicular block coverage different?

[Peace-yuyu]

can we performe blind supraclavicular block in resource limited areas? if yes what are the techniques that we have to follow?
you videos are amaizing, thank you !

[williamtellez]

Enjoy all of your Videos. What block or blocks would you recommend for a patient having open surgery for a fractured patella where a fixator is to be used? Usually, surgery is associated with a painful recovery period.

[freestylie]

Fab video as ever - just wondering what volume you typically use and of what percent ropivicaine and do you use half above and half below. I note Dr Albrecht's recent paper reckoning 37 vs 18mins onset time in his series for intra vs extrafascial supraclaviculars. Ive found longer in my practice although I think might be relying too heavily on motor block onset time rather than distinguishing from sensory block onset time in reckoning surgical readiness? Just wondering your thoughts?

[drumair]

Staying outside sheath is not reliable

[SamAndSamuel]

Your probe positioning comment is poorly worded. Listen again at 1:55

[haliShanna]

One thing I would like to mention, which for some reason in all videos are lacking. The depth- ajust the dept 3 cm for average person of 170-180 lb. Introduce the needle paralel to the clavicle and way ( 2 to 3cm) from the transducer. The goal is, the needle not to go toward the pleura and the needle to be visulized better ( paralel to the clavicle means paralel to the US beam and better visualization). Never every advance the needle "blindly". Always have a perfect visualization of the needle, ALWAYS in this block, have your dopler ON. Too many vessels there to take a risk. good luck...