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Updated: Jul 14, 2026
The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire
Published on: December 23, 2014
[Ultrasound-guided infraclavicular block: a preliminary study of feasibility]
1Service d'anesthésie, hôpital privé Claude-Galien, Quincy-sous-Sénart, France. francanest@mac.com <francanest@mac.com>
Objectives:
To assess the feasibility of neurostimulation and ultrasound guidance combination for infraclavicular brachial plexus block (ICB) technique.
Study Design:
Prospective study.
Patients And Methods:
Fifty consecutive patients scheduled for hand, forearm or elbow surgery were included.
Methods:
A single stimulation lateral approach technique of ICB was performed. During the procedure, neurostimulation and ultrasound guidance were combined. The feasibility of ICB was assessed using a visual analogue scale (VAS, 0: impossible, 100: very simple) for ultrasound anatomical structures identification (VAS(Anat)) and for block placement (VAS (Block)). The success rate of ICB block was noted.
Results:
No patient required general anaesthesia conversion. Median VAS+/-SD of VAS(Anat) and VAS(Block) were of 84+/-15 and 96+/-7, respectively. Success rate of ICB was 96%. No specific complication of ICB technique was noted.
Conclusion:
Combination of neurostimulation and ultrasound guidance is feasible. Combination of neurostimulation and ultrasound guidance secured ICB. Ultrasound-evidenced spread of local anaesthetics increased the success rate of ICB.
