LETTERS TO EDITOR
Year : 2020 | Volume
| Issue : 4 | Page : 572-573
Ultrasound-guided continuous retroclavicular brachial plexus block
Amarjeet Kumar, Chandni Sinha, Ajeet Kumar
Department of Anesthesia, AIIMS, Patna, Bihar, India
Dr. Chandni Sinha
Department of Anesthesia, OT Complex, AIIMS, Phulwarisharif, Patna, Bihar
Source of Support: None, Conflict of Interest: None
|Date of Submission||13-Apr-2020|
|Date of Decision||13-Apr-2020|
|Date of Acceptance||20-Apr-2020|
|Date of Web Publication||24-Sep-2020|
|How to cite this article:|
Kumar A, Sinha C, Kumar A. Ultrasound-guided continuous retroclavicular brachial plexus block. Saudi J Anaesth 2020;14:572-3
Although the retroclavicular technique of infraclavicular brachial plexus block targets the cords, the needle insertion point lies above the clavicle: 2 cm cephalad to the clavicle, medial to the trapezius insertion. The advantages of this block include better visualization of the needle, and no need to abduct the arm during the block. We have tried the placement of catheters with this technique [Figure 1]. Continuous peripheral nerve blocks (CPNB) provide surgical anesthesia and analgesia during the postoperative period and treatment of chronic pain conditions. The major advantage of this technique for continuous catheter technique includes the dressing to be in the supraclavicular region. This enables us to easily keep the probe and visualize the spread of the local anesthetic during subsequent top ups. This is especially useful if we are not using a stimulating catheter.
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Conflicts of interest
There are no conflicts of interest.
| References|| |
Kavrut ON, Kavakli AS. Comparison of the coracoid and retroclavicular approaches for ultrasound-guided infraclavicular brachial plexus block. J Anest 2017;31:572-8.
Dadure C, Capdevilla X. Continuous peripheral nerve blocks in children. Best Pract Res Clin Anaesthesiol 2005;19:309-321.