Proximal Out-plane Retroclavicular Brachial Plexus Nerve Block as an Alternative to Costoclavicular Approach: A Case Report

JOURNAL TITLE: Journal of Research & Innovation in Anesthesia

Author
1. Chandni Sinha
2. Ajeet Kumar
3. Kunal Singh
4. Amarjeet Kumar
ISSN
DOI
10.5005/jp-journals-10049-2007
Volume
7
Issue
1
Publishing Year
2022
Pages
2
Author Affiliations
    1. Department of Anaesthesia, All Institute of Medical Sciences, Patna, Bihar, India
    1. Department of Anaesthesia and Critical Care, All India Institute of Medical Sciences, Patna, India
    1. Department of Anaesthesia and Critical Care, JPNATC, AIIMS, New Delhi, India
    1. Department of Anaesthesiology and Intensive Care, Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, India
  • Article keywords
    Infraclavicular brachial plexus block, Retroclavicular, Ultrasonography

    Abstract

    Several techniques of infraclavicular brachial plexus nerve block (ICB) have been described in literature: stressing on various surface landmarks, site of needle insertion, and needle direction. Classical infraclavicular approach was the first one to be described followed by the retroclavicular and costoclavicular approach. Here we describe a novel technique of ICB is proximal out-plane retroclavicular approach. Proximal out-plane retroclavicular is simple and handy, in our experience. It also offer advantages over distal in-plane retroclavicular approach as it targets proximally clustered cords rather than individual cord.

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