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<br /> Philips ultrasound-guided<br /> regional anesthesia tutorial<br /> Supraclavicular nerve block<br /> Brian Sites, MD<br /> Associate Professor of Anesthesiology<br /> Director of Orthopedic and Regional Anesthesia<br /> Dartmouth-Hitchcock Medical Center<br /> Table of contents<br /> Supraclavicular nerve block<br /> 1 Introduction ........................................................ 3<br /> 2 Indications ............................................................ 4<br /> 3 Gross anatomy.................................................... 5<br /> 4 Ultrasound anatomy..........................................8<br /> 5 Technique ........................................................... 13<br /> 6 Clinical pearls ....................................................21<br /> Additional resources .............................. 28<br /> 2<br /> 1 Introduction<br /> Thanks to ultrasound technology, the supraclavicular<br /> nerve block has gained unparalleled <a title="Supraclavicular Block page 1" href="http://viewer.zmags.com/publication/ac1fd6aa?page=1"> Philips ultrasound-guided regional anesthesia tut</a> <a title="Supraclavicular Block page 2" href="http://viewer.zmags.com/publication/ac1fd6aa?page=2"> Table of contents Supraclavicular nerve block 1 </a> <a title="Supraclavicular Block page 3" href="http://viewer.zmags.com/publication/ac1fd6aa?page=3"> 1 Introduction Thanks to ultrasound technology, </a> <a title="Supraclavicular Block page 4" href="http://viewer.zmags.com/publication/ac1fd6aa?page=4"> 2 Indications • Postoperative analgesia or surgi</a> <a title="Supraclavicular Block page 5" href="http://viewer.zmags.com/publication/ac1fd6aa?page=5"> 3 Gross anatomy The supraclavicular nerve block </a> <a title="Supraclavicular Block page 6" href="http://viewer.zmags.com/publication/ac1fd6aa?page=6"> 3 Gross anatomy The key reference structures for</a> <a title="Supraclavicular Block page 7" href="http://viewer.zmags.com/publication/ac1fd6aa?page=7"> Figure 2 Relational gross anatomy with clavicle r</a> <a title="Supraclavicular Block page 8" href="http://viewer.zmags.com/publication/ac1fd6aa?page=8"> 4 Ultrasound anatomy (shor t-axis</a> <a title="Supraclavicular Block page 9" href="http://viewer.zmags.com/publication/ac1fd6aa?page=9"> Figure 3 Short axis image of the brachial plexus </a> <a title="Supraclavicular Block page 10" href="http://viewer.zmags.com/publication/ac1fd6aa?page=10"> 4 Ultrasound anatomy (shor t-axis</a> <a title="Supraclavicular Block page 11" href="http://viewer.zmags.com/publication/ac1fd6aa?page=11"> Video 1: Landmark structures: The video demonstra</a> <a title="Supraclavicular Block page 12" href="http://viewer.zmags.com/publication/ac1fd6aa?page=12"> 4 Ultrasound anatomy (shor t-axis</a> <a title="Supraclavicular Block page 13" href="http://viewer.zmags.com/publication/ac1fd6aa?page=13"> 5 Technique • Conduct an ultrasound exam of the </a> <a title="Supraclavicular Block page 14" href="http://viewer.zmags.com/publication/ac1fd6aa?page=14"> 5 Technique • When the needle is positioned a</a> <a title="Supraclavicular Block page 15" href="http://viewer.zmags.com/publication/ac1fd6aa?page=15"> Figure 6 Demonstration of the in-plane approach f</a> <a title="Supraclavicular Block page 16" href="http://viewer.zmags.com/publication/ac1fd6aa?page=16"> 5 Technique Figure 7 Demonst</a> <a title="Supraclavicular Block page 17" href="http://viewer.zmags.com/publication/ac1fd6aa?page=17"> Figure 8 Demonstration of the in-plane approach f</a> <a title="Supraclavicular Block page 18" href="http://viewer.zmags.com/publication/ac1fd6aa?page=18"> 5 Technique Figure 9 Demonst</a> <a title="Supraclavicular Block page 19" href="http://viewer.zmags.com/publication/ac1fd6aa?page=19"> Video 2a: Demonstration of scanning techniques to</a> <a title="Supraclavicular Block page 20" href="http://viewer.zmags.com/publication/ac1fd6aa?page=20"> 5 Technique Video 2b: Dem</a> <a title="Supraclavicular Block page 21" href="http://viewer.zmags.com/publication/ac1fd6aa?page=21"> 6 Clinical pearls 1. Prior to needle insertio</a> <a title="Supraclavicular Block page 22" href="http://viewer.zmags.com/publication/ac1fd6aa?page=22"> 6 Clinical pearls Video </a> <a title="Supraclavicular Block page 23" href="http://viewer.zmags.com/publication/ac1fd6aa?page=23"> 2. The inferior belly of the omohyoid muscle will</a> <a title="Supraclavicular Block page 24" href="http://viewer.zmags.com/publication/ac1fd6aa?page=24"> 6 Clinical pearls Video </a> <a title="Supraclavicular Block page 25" href="http://viewer.zmags.com/publication/ac1fd6aa?page=25"> 3. Interscalene blocks are usually done at the ro</a> <a title="Supraclavicular Block page 26" href="http://viewer.zmags.com/publication/ac1fd6aa?page=26"> 6 Clinical pearls Figure 11b Un</a> <a title="Supraclavicular Block page 27" href="http://viewer.zmags.com/publication/ac1fd6aa?page=27"> 6. In contrast to the interscalene nerve block (r</a> <a title="Supraclavicular Block page 28" href="http://viewer.zmags.com/publication/ac1fd6aa?page=28"> Additional resources Additional resources relate</a> <a title="Supraclavicular Block page 29" href="http://viewer.zmags.com/publication/ac1fd6aa?page=29"> Philips Healthcare is part of Royal Philips Elect</a>