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Cervical ribs-An anatomical obstacle for upper limb regional blocks
Enrique Moreno1, Dan Sebastian Dirzu2, María Fernanda Bastías Moraga1
1Anesthesia, Regional and Interventional Pain Consultant Dr. Hernan Henríquez Aravena Hospital, Temuco Chile.
Clinical Case Reports
|December 3, 2019
Summary
Anatomic variations in the neck and shoulder can affect regional anesthesia. Cervical ribs may hinder needle visualization during brachial plexus blocks, making preprocedural scans crucial for technique selection.
Area of Science:
- Anesthesiology
- Anatomy
- Regional Anesthesia
Background:
- Anatomic variations in the cervical and supraclavicular regions can influence regional anesthesia.
- Cervical ribs are a potential anatomical anomaly impacting procedures in these areas.
Purpose of the Study:
- To highlight the impact of anatomical variations on regional anesthesia.
- To emphasize the challenges posed by cervical ribs during brachial plexus block.
Main Methods:
- Review of anatomical considerations for regional anesthesia.
- Discussion of imaging techniques for preprocedural assessment.
Main Results:
- Cervical ribs can obstruct needle visualization during brachial plexus block.
- Preprocedural imaging can aid in selecting appropriate anesthetic techniques.
Conclusions:
- Awareness of cervical ribs is important for anesthesiologists.
- Preprocedural scans are valuable for optimizing regional anesthesia strategies in the presence of anatomical variations.
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