Subclavian Vein Access Normovolemic Patient Animation by Cal Shipley MD

YOUR LINK HERE:

http://youtube.com/watch?v=VlgNTPfaGsU

This 3-minute video outlines how to perform a supraclavicular brachial plexus block. Critical points are as follows: • 1. Tilt the probe/beam as needed to obtain a view of the plexus and artery lying on the 1st rib (and not the pleura), and to make the fascial layers and plexus as echogenic as possible. • 2. Identify the suprascapular nerve and ensure it is not in the planned needle path. • 3. Exclude the presence of vessels, such as the suprascapular artery, in the needle path. • 4. Upon piercing the brachial plexus sheath, use incremental hydrodissection to open up and create safe paths for needle advancement • 5. Divide the injection between corner pocket and the plane between superior middle trunks for optimal spread and efficacy. • See the excellent video - • Supraclavicular Brachial Plexus Block - by Dr Jeff Gadsden at Duke Anesthesiology for more details and clinical pearls. • Also see my accompanying video demonstrating catheter insertion using a slightly different approach - • Ultrasound-Guided Supraclavicular Bra...

#############################

New on site