Ultrasound-guided central cluster approach for the supraclavicular brachial plexus block: a case series.
10.4097/kjae.2015.68.6.603
- Author:
Mi Geum LEE
1
;
Kyung Cheon LEE
;
Hong Soon KIM
;
Seol Ju PARK
;
Young Je SUH
;
Hyeon Ju SHIN
Author Information
1. Department of Anesthesiology and Pain Medicine, Gachon University Gil Hospital, Incheon, Korea.
- Publication Type:Case Report
- Keywords:
Brachial plexus block;
Pneumothorax;
Ultrasound
- MeSH:
Brachial Plexus*;
Needles;
Pleura;
Pneumothorax;
Punctures;
Subclavian Artery;
Ultrasonography
- From:Korean Journal of Anesthesiology
2015;68(6):603-607
- CountryRepublic of Korea
- Language:English
-
Abstract:
There are many different approaches to ultrasound-guided supraclavicular brachial plexus block (US-SCBPB), and each has a different success rate and complications. The most commonly performed US-SCBPB is the corner pocket approach in which the needle is advanced very close to the subclavian artery and pleura. Therefore, it may be associated with a risk of subclavian artery puncture or pneumothorax. We advanced the needle into the central part of the neural cluster after penetrating the sheath of the brachial plexus in US-SCBPB. We refer to this new method as the "central cluster approach." In this approach, the needle does not have to advance close to the subclavian artery or pleura. The aim of this study was to evaluate the clinical outcomes of the central cluster approach in US-SCBPB.
