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The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire

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Supraclavicular brachial plexus blocks: review and current practice.

K Vermeylen¹, S Engelen, L Sermeus

¹Dept. of Anaesthesia, ZNA Middelheim Antwerp, Lindendreef 1, 2020 Belgium. kris.vermeylen@gmail.com

Acta Anaesthesiologica Belgica

|July 13, 2012

Summary

Ultrasound guidance revives the supraclavicular brachial plexus block. This technique enhances safety and efficacy for upper limb surgery, offering a valuable alternative to other regional anesthesia methods.

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Area of Science:

Anesthesiology
Anatomy
Medical Imaging

Background:

The brachial plexus is crucial for upper extremity innervation.
Understanding its complex anatomy is key for regional anesthesia.
The supraclavicular approach offers high success but carries risks.

Purpose of the Study:

To review the revival of the supraclavicular brachial plexus blockade.
To highlight the role of ultrasound guidance in this technique.
To assess its viability as an alternative regional anesthesia method.

Main Methods:

Review of existing literature on supraclavicular brachial plexus blockade.
Focus on the application and benefits of ultrasound guidance.
Comparison with other brachial plexus approaches (interscalene, axillary, infraclavicular).

Main Results:

Ultrasound guidance significantly reduces the risk of pneumothorax.
It allows for faster onset time and reduced local anesthetic dosage.
The supraclavicular approach, when guided by ultrasound, effectively blocks nerves often missed by other methods.

Conclusions:

Ultrasound-guided supraclavicular brachial plexus blockade is a safe and effective technique.
It presents a valuable alternative for regional anesthesia in upper limb surgery.
This revival addresses previous concerns regarding safety and efficacy.