Document Detail


Failure of supraclavicular block under ultrasound guidance: clinical relevance of anatomical variation of cervical vessels.
MedLine Citation:
PMID:  22002342     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
We describe a case with partial analgesia after ultrasound-guided supraclavicular block for elbow surgery. The failure of the block was caused by the limited spread of local anesthetic because of blockage by a vessel (either transverse cervical artery or dorsal scapular artery) running through the brachial plexus. Anesthesiologists should be aware that cervical anatomy is complex and has anatomical variations. Thus, careful ultrasound screening of anatomical structure, especially using color Doppler, is important in performing brachial plexus block.
Authors:
Sakura Kinjo; Aaron Frankel
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-10-16
Journal Detail:
Title:  Journal of anesthesia     Volume:  -     ISSN:  1438-8359     ISO Abbreviation:  -     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2011-10-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8905667     Medline TA:  J Anesth     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Anesthesia and Perioperative Care, University of California, San Francisco, 521 Parnassus Ave, San Francisco, CA, 94143-0648, USA, Kinjos@anesthesia.ucsf.edu.
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