WebFeb 24, 2024 · Interscalene block (ISB) is the acute pain management technique of choice for shoulder surgery, but its undesirable respiratory side effects have prompted seeking alternatives. Supraclavicular block (SCB) is proposed as an ISB alternative, but evidence of comparative analgesic and respiratory-sparing effects is inconsistent. WebThe suprascapular nerve is a mixed motor and sensory peripheral nerve arising from the superior trunk of the brachial plexus. The nerve supplies motor innervation to shoulder muscles and sends sensory branches to multiple places in the shoulder region. [1] Suprascapular nerve block (SSNB) is a safe and effective method to treat pain in chronic ...
How I Do It: Regional Anesthesia for Shoulder Surgery
WebVarious options exist to provide brachial plexus anesthesia. 8,9 In our patient, surgical anesthesia of the proximal humerus coverage was required which limited the regional anesthetic options to an interscalene or a supraclavicular block. Despite its advantages as a means of avoiding the need for general anesthesia, brachial plexus anesthesia ... WebMar 2, 2024 · STB should be performed proximal to the takeoff of the suprascapular nerve to ensure adequate sensory coverage of the shoulder. A supplemental injection over the middle scalene muscle, on the way out with the block needle, anaesthetising the supraclavicular nerve branches (targeting primarily the lateral and intermediate … indigestion burning stomach
Supraclavicular Brachial Plexus Block – Landmarks and Nerve
WebThe SCN cluster was blocked with 3 ml of LA administered as 0.5 ml aliquots at 3 or 9 o’ clock position after negative aspiration. The injection point was chosen when the cluster … WebThe block is performed via ultrasound guidance with the patient in a supine or lateral position patient using an in-plane approach from posterio-lateral to anterio-medial. The … WebJan 8, 2024 · The supraclavicular block is indicated for primary regional anesthesia during surgeries and/or postoperative pain control to the distal two-thirds of the upper extremity, or from the mid-humerus to the fingertips. Sparing of very distal branches, especially the ulnar nerve, can occur. [5] Contraindications lockup winner prize