Supraclavicular Brachial Plexus Block Techniques

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Anesthesia of the Upper Limb
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Abstract

What we mean by the term “supraclavicular techniques” is those techniques whose entry point is located above the clavicle, be it in the immediate vicinity of the latter (these are mainly perivascular techniques such as the Kulenkampff technique) or closer to the vertebral column (such as Kappis posterior approach or Winnie’s interscalene technique).

If there are many ways of performing the same operation, that means that none of them is really just what the doctor ordered.

Livio Zava, General Surgeon, Treviso, 1967.

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Bibliography

  • Alemanno F, Accinelli G, Pfaender M (1985) Una semplice metodica di tunnelizzazione e fissaggio del catetere peridurale. Acta Anaesth Italica 36:143–146

    Google Scholar 

  • Alemanno F, Bertini L, Casati A, Di Benedetto P (2001) Plesso brachiale. In: Fanelli G, Casati A, Chelly JE, Bertini L (eds) Blocchi periferici continui. Milano, Mosby Italia, pp 47–58

    Google Scholar 

  • Alemanno F, Capozzoli G, Egarter-Vigl E, Gottin L, Bartoloni A (2006) The middle interscalene block: cadaver study and clinical assessment. Reg Anesth Pain Med 31(6):563–568

    PubMed  Google Scholar 

  • Alemanno F, Capozzoli G, Egarter-Vigl E (2004) A new approach to the supraclavicular block. Reg Anesth Pain Med 29(1):72–73

    PubMed  Google Scholar 

  • Alemanno F, Graziano G, Maccabruni F, Pinali R (2000) Brachial plexus block for shoulder surgery: our experience with Alemanno’s technique. ALR 9(3):122–126

    Google Scholar 

  • Alemanno F, Gretter R, Di Leo Y, Bellini L (2003) Alemanno’s brachial plexus block ten years later: topographic study of anesthetized areas. Minerva Anest 69(6):575–581

    PubMed  CAS  Google Scholar 

  • Alemanno F (2000) Brachial plexus block. International Symposium on Regional Anestesia & Pain Medicine. Quebec, Canada, May 31–June 3 2000, SYLLABUS, page 20

    Google Scholar 

  • Alemanno F (1992) Un nuovo approccio al plesso brachiale. Minerva Anestesiol 58:403–406

    PubMed  CAS  Google Scholar 

  • Ansbro FP (1946) A method of continuous brachial plexus block. Am J Surg 71:716–722

    Article  PubMed  CAS  Google Scholar 

  • Barutel C, Vidal F, Raich M, Montero A (1980) A neurological complication following brachial plexus block. Anesthesia 35:365–367

    Article  Google Scholar 

  • Bellucci G (1982) Storia della anestesiologia. Piccin Editore, Padova

    Google Scholar 

  • Benumof JL (2000) Permanent loss of cervical spinal cord function associated with interscalene block performed under general anesthesia. Anesthesiology 93:1541–1544

    Article  PubMed  CAS  Google Scholar 

  • Boezaart AP, Koorn R, Rosenquist RW (2003) Paravertebral approach to the brachial plexus: an anatomic improvement in technique. Reg Anesth Pain Med 28:241–244

    PubMed  Google Scholar 

  • Bonica JJ (1959) Il dolore. Francesco Vallardi Editore, Milano

    Google Scholar 

  • Borgeat A, Blumenthal S (2007) Unintended destination of local anesthetics. In: Neal JM, Rathmell JP (eds) Complications in regional anesthesia & pain medicine. Saunders Elsevier, Philadelphia

    Google Scholar 

  • Brandt L (1997) Illustrierte Geschichte der Anästhesie. Wissenschaftliche Verlagsgesellschaft mbh, Stuttgart

    Google Scholar 

  • Brown DL, Cahill DR, Bridenbaugh LD (1993) Supraclavicular nerve block: anatomic analysis of a method to prevent pneumothorax. Anesth Analg 76:530–534

    Article  PubMed  CAS  Google Scholar 

  • Brown DL (1995) Atlante di anestesia regionale. Antonio Delfino Editore, Roma

    Google Scholar 

  • Chelly JE, Casati A, Fanelli G (2001) Continuous perpheral nerve block techniques. Mosby International Limited

    Google Scholar 

  • Dalens B, Vanneuville G, Tanguy A (1987) A new parascalene approach to the brachial plexus in children: comparison with supraclavicular approach. Anesth Analg 66:1264–1271

    PubMed  CAS  Google Scholar 

  • Dalens B (1995) Anestesia loco-regionale dalla nascita all’età adulta. Fogliazza Editore, Milano

    Google Scholar 

  • Finco G, Alemanno F et al (1999) Ropivacaina 1 % vs Bupivacaina 0, 5 % nel blocco del plesso brachiale secondo Alemanno nella chirurgia dell’arto superiore. Minerva Anestesiol 65(Suppl. 2):53

    Google Scholar 

  • Finco G, Capozzoli G et al (2000) Ropivacaina 1 % vs Ropivacaina 0, 75 % nel blocco del plesso brachiale secondo Alemanno nella chirurgia della spalla. ALR 3:122–126

    Google Scholar 

  • Finucane BT (1998) Brachial plexus anesthesia: a review. The International Monitor. Medicom International. IMRAPT 10(4):3–8

    Google Scholar 

  • Finucane BT (1999) Complications of Brachial Plexus Anesthesia. In: Brendan T (ed) Finucane: complications of regional anesthesia. Churchill Livingstone, New York

    Google Scholar 

  • Gauthier-Lafaye P (1986) Manuale di anestesia locoregionale. Masson Italia, Milano

    Google Scholar 

  • Hadzic A (2007) Nerve stimulation should be used in conjunction with ultrasound-guided nerve blocks. ASRA NEWS, pp 7–9

    Google Scholar 

  • Harrop-Griffiths AW, Denny MB (2006) Eponymicity and the age of ultrasound: how should new blocks be introduced into clinical practice? Reg Anesth Pain Med 31(6):492–495

    Article  PubMed  Google Scholar 

  • Kappis M (1912) Über Leitungsanästhesie an Bauch, Brust, Arm und Hals durch Injektion ins Foramen Intervertebrale. München Med Wochenschr 59:794–796

    Google Scholar 

  • Kulenkampff D (1911) Die Anästhesierung des Plexus brachialis. Zentralblatt für Chirurgie, Sonnabend den 7 Oktober 1911; 40: 1337–1340

    Google Scholar 

  • Labat G (1922) Regional Anesthesia. Saunders & Co., Philadelphia

    Google Scholar 

  • Labat G (1927) Brachial plexus block: details of technique. Anesth Analg 6:81–82

    Article  Google Scholar 

  • Labat G (1927) Brachial plexus block. Br J Anaesth 4:174–176

    Article  Google Scholar 

  • Livingston EM, Wertheim H (1927) Brachial plexus block: its clinical application. Anesth Analg 6:149–154

    Article  Google Scholar 

  • Lombard TP, Couper JL (1983) Bilateral spread of analgesia following interscalene brachial plexus block. Anesthesiology 58:472–473

    Article  PubMed  CAS  Google Scholar 

  • Meier G, Bauereis C, Maurer H, Meier T (2001) Interscalenäre Plexusblockade. Anatomische Voraussetzungen-anästhesiologishe und operative Aspekte. Der Anaesthesist 50(5): 333–341 © Springer-Verlag 2001

    Google Scholar 

  • Moore DC (1969) Anestesia regionale. Piccin Editore, Padova

    Google Scholar 

  • Moorthy SS, Schmidt SI, Dierdorf SF, Rosenfeld SH, Anagnostou JM (1991) A supraclavicular lateral paravascular approach for brachial plexus regional anesthesia. Anesth Analg 72:241–244

    Article  PubMed  CAS  Google Scholar 

  • Murano L, Accinelli G, Alemanno F (2002) Supraclavear technique of Alemanno with a nerve stimulator. ALR 11:125–129

    Google Scholar 

  • Neal JM, Moore JM, Kopacz DJ, Liu SS, Kramer DJ, Plorde JJ (1998) Quantitative analysis of respiratory, motor and sensory function after supraclavicular block. Anesth Analg 86:1239–1244

    PubMed  CAS  Google Scholar 

  • Niesel HC, Panhans C, Zenz M (1981) Regional-anaesthesie. Gustav Fisher Verlag, Stuttgart

    Google Scholar 

  • Partridge BL, Katz J, Benirschke K (1987) Functional anatomy of the brachial plexus sheath: implications for anesthesia. Anesthesiology 66:743–747

    Article  PubMed  CAS  Google Scholar 

  • Pippa P, Busoni P (2010) Anestesia locoregionale. Verduci Editore, Roma

    Google Scholar 

  • Pippa P, Cominelli E, Marinelli C, Aito S (1990) Brachial plexus block using the posterior approach. Eur J Anaesth 7:411–420

    Google Scholar 

  • Scott DB (1996) Tecniche di anestesia regionale. Verduci Editore, Roma

    Google Scholar 

  • Silverstein WB, Saiyed MU, Brown AR (2000) Interscalene block with a nerve stimulator: a deltoid motor response is a satisfactory endpoint for successful block. Reg Anesth Pain Med 25:356–359

    PubMed  CAS  Google Scholar 

  • Sites BD, Brull R, Chan VW, Spence BC et al (2007) Artifacts and pitfall errors associated with U.S. guided regional anesthesia. Part II: a pictorial approach to understanding and avoidance. Reg Anesth Pain Med 32(5):419–433

    PubMed  Google Scholar 

  • Sites BD, Brull R, Chan VW, Spence BC, Gallagher J, Beach ML, Sites VR, Abbas S, Hartman GS (2010) Artifacts and pitfall errors associated with ultrasound-guided regional anesthesia: part II: a pictorial approach to understanding and avoidance. Reg Anesth Pain Med 35(2)Suppl 1:S81–S92

    Article  PubMed  Google Scholar 

  • Stiller B (1907) Die asthenische Konstitutionskrankheit. Enke, Stuttgart

    Google Scholar 

  • Smirnov SJ, Sarnoff LC (1951) Prolonged peripheral nerve block by means of indwelling plastic catheter. Treatment of hiccup. (Note on the electrical localization of peripheral nerve). Anesthesiology 12:270–275

    Article  PubMed  CAS  Google Scholar 

  • Testut L, Jacob O (1977) Trattato di anatomia topografica. UTET, Torino

    Google Scholar 

  • Testut L (1943) Anatomia umana. Libro Ottavo. UTET, Torino

    Google Scholar 

  • Thompson GE, Rorie DK (1983) Functional anatomy of the brachial plexus sheaths. Anesthesiology 59:117–122

    Article  PubMed  CAS  Google Scholar 

  • Tuffier T (1977) Vie d’accesso alla loggia sopraclavicolare. In: Testut L, Jacob O: Trattato di anatomia topografica, vol II. UTET, Torino, pp 159

    Google Scholar 

  • Urmey W, Talts KH, Sharrock NE (1991) One hundred percent incidence of hemidiaphragmatic paresis associated with interscalene brachial plexus anesthesia as diagnosed by ultrasonography. Anesth Analg 72(4):498–503

    Article  PubMed  CAS  Google Scholar 

  • Vongvises P, Panijayanond T (1979) A parascalene technique of brachial plexus anesthesia. Anesth Analg 58(4):267–273

    Article  PubMed  CAS  Google Scholar 

  • Winnie AP, Collins VJ (1964) The subclavian perivascular technique of brachial plexus anestesia. Anesthesiology 25:353–363

    Article  CAS  Google Scholar 

  • Winnie AP, Franco CD (2000) L’approccio sopraclavicolare al plesso brachiale. In: Urmey W (ed) Tecniche di anestesia loco-regionale e di terapia antalgica, nuovi concetti e tecniche del blocco del plesso brachiale, a cura di Brendan T. Finucane: pp 5–18. Traduzione italiana di Paolo Busoni. Promo Leader Service, Firenze

    Google Scholar 

  • Winnie AP (1984) Anestesia plessica. Tecniche perivascolari di blocco del plesso brachiale. Verduci Editore, Roma

    Google Scholar 

  • Winnie AP (1970) Interscalene brachial plexus block. Anesth Analg 49:455–466

    Article  PubMed  CAS  Google Scholar 

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Alemanno, F. (2014). Supraclavicular Brachial Plexus Block Techniques. In: Alemanno, F., Bosco, M., Barbati, A. (eds) Anesthesia of the Upper Limb. Springer, Milano. https://doi.org/10.1007/978-88-470-5418-9_6

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  • DOI: https://doi.org/10.1007/978-88-470-5418-9_6

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