Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

1.6K
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
1.6K
Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

1.6K
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
1.6K
Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

865
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
865
Regional Terms01:12

Regional Terms

16.4K
Regional terms describe anatomy by dividing the body parts into different regions that contain structures involved in contributing similar functions. Using these terms helps increase the accurate description and identification of the particular region of interest or region affected by the disease.
Primarily, the human body has two major regions, the axial and appendicular regions. The axial region comprises regions from the head to the abdomen and makes up the central body axis. In contrast,...
16.4K
Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia01:30

Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia

2.3K
Depending on the target organ, local anesthetics (LAs) can be administered via various routes. In surface anesthesia, LAs are applied directly to the surface of the skin or mucous membranes. It is widely used for topical skin numbing before venipuncture or minor surgical procedures. Commonly used surface local anesthetics are lidocaine or benzocaine sprays or creams. Surface anesthesia occurs within 5 minutes and lasts for about 60 minutes. One of the main disadvantages of topical anesthesia is...
2.3K
Skeletal Muscle Relaxants: Therapeutic Uses01:31

Skeletal Muscle Relaxants: Therapeutic Uses

1.1K
Skeletal muscle relaxants are used to relax muscle tone and alleviate painful muscle contractions. However, the choice of skeletal muscle relaxants depends on the duration of the surgical procedure in order to minimize potential side effects. Skeletal muscle relaxants like neuromuscular blocking agents [NMBAs] are commonly employed as adjuvants alongside general anesthetics in clinical settings. NMBAs are also used to maintain controlled ventilation during surgery of the larynx or pharynx...
1.1K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Negative Pressure Pulmonary Edema Following Septorhinoplasty.

Kathmandu University medical journal (KUMJ)ยท2026
Same author

Celiac Plexus Denudation in Triangle Dissection in Pancreatico Duodenectomy: Perioperative Anesthetic Implications.

Kathmandu University medical journal (KUMJ)ยท2022
Same author

Ultrasound Guided Stellate Ganglion Block with Dexmedetomidine as an Adjuvant in Complex Regional Pain Syndrome (CRPS).

Kathmandu University medical journal (KUMJ)ยท2021
Same author

Unexpected Sudden Bouts of Coughing During Endourology Procedures: Sign of Impending Doom.

Kathmandu University medical journal (KUMJ)ยท2020
Same author

Universal health coverage in a regional Nepali hospital: who is exempted from payment?

Public health actionยท2015
Same author

Localized dealloying corrosion mediated by self-assembled monolayers used as an inhibitor system.

Faraday discussionsยท2015
Same journal

Foreign Body Migration from Subglottis to Bronchus in a Tracheostomised Child: A Case Report.

JNMA; journal of the Nepal Medical Associationยท2026
Same journal

Validation of the Nepalese Version of the Quality of Recovery-15 Questionnaire in Patients Undergoing Elective Surgery.

JNMA; journal of the Nepal Medical Associationยท2026
Same journal

Evaluation of Preference of Pain Scale in Children using Novel Animated Emoji Scale in Nepal: An Observational Study.

JNMA; journal of the Nepal Medical Associationยท2026
Same journal

Mucinous Ovarian Cancer in a Young Woman: A Case Report.

JNMA; journal of the Nepal Medical Associationยท2026
Same journal

Conundrum of Cholesterol Management and Health Implications of Low Cholesterol Levels: A Narrative Review.

JNMA; journal of the Nepal Medical Associationยท2026
Same journal

Clinical Profile and Management of Pleural Effusion at Tertiary Hospital of Nepal: An Observational Study.

JNMA; journal of the Nepal Medical Associationยท2026
See all related articles

Related Experiment Video

Updated: Feb 25, 2026

A Mouse Model of Direct Anastomosis via the Prespinal Route for Crossing Nerve Transfer Surgery
05:56

A Mouse Model of Direct Anastomosis via the Prespinal Route for Crossing Nerve Transfer Surgery

Published on: October 19, 2021

2.7K

Regional Anaesthesia in Clavicle Surgery.

B R Shrestha1, P Sharma1

  • 1Department of Anaesthesiology and Intensive Care, Kathmandu Medical College, Nepal.

JNMA; Journal of the Nepal Medical Association
|July 27, 2017
PubMed
Summary
This summary is machine-generated.

Regional anesthesia using a combined superficial cervical plexus and interscalene brachial plexus block offers a safe and effective alternative to general anesthesia for clavicle fracture surgery, avoiding adverse effects.

Keywords:
clavicle fracture; interscalene brachial plexus block; superficial cervical plexus block.

More Related Videos

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
06:57

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome

Published on: September 13, 2020

4.3K
Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
05:39

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia

Published on: May 26, 2023

2.5K

Related Experiment Videos

Last Updated: Feb 25, 2026

A Mouse Model of Direct Anastomosis via the Prespinal Route for Crossing Nerve Transfer Surgery
05:56

A Mouse Model of Direct Anastomosis via the Prespinal Route for Crossing Nerve Transfer Surgery

Published on: October 19, 2021

2.7K
Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
06:57

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome

Published on: September 13, 2020

4.3K
Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
05:39

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia

Published on: May 26, 2023

2.5K

Area of Science:

  • Anesthesiology
  • Orthopedic Surgery

Background:

  • Regional anesthesia is underutilized for clavicle fracture repair compared to general anesthesia.
  • General anesthesia carries potential adverse effects that may be undesirable in some patients.

Observation:

  • Two cases of clavicle fracture treated surgically under a combined superficial cervical plexus and interscalene brachial plexus block are presented.
  • The blocks were performed using a combination of ropivacaine and dexmedetomidine.

Findings:

  • Both patients experienced significant comfort during the procedure.
  • Neither patient required additional analgesics post-operatively.

Implications:

  • This combined regional anesthesia technique can be a valuable option for clavicle fracture surgery.
  • It provides a viable alternative to general anesthesia, potentially mitigating associated risks and side effects.