Document Detail


Supraclavicular approach to brachial plexus block using fluoroscopic anatomic landmarks and nerve stimulation.
MedLine Citation:
PMID:  16883379     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Irritation of neural structures, specifically the brachial plexus outside of the cervical spine is capable of producing pain in the upper extremity. These pain patterns may be similar to pain originating from the cervical spine, presenting a diagnostic challenge. Brachial plexus block is performed at multiple levels, including interscalene, supraclavicular, infraclavicular, and axillary. Interscalene block is frequently utilized by interventional pain management physicians for diagnostic and therapeutic purposes to isolate and manage the brachial plexus as a pain generator. The traditional methods employed in performing interscalene or supraclavicular brachial plexus blocks are associated with multiple disadvantages. A new technique is described to meet five essential requirements encompassing safety, specificity, consistency, reproducibility and a high success rate. Relevant anatomy and proposed technique of brachial plexus block is described. The procedure is performed under fluoroscopy with contrast injection. It is concluded that the proposed technique of brachial plexus block is useful for brachial plexus blockade providing precision and specificity with minimal complications.
Authors:
Bradley D Vilims; Robert E Wright
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pain physician     Volume:  6     ISSN:  1533-3159     ISO Abbreviation:  Pain Physician     Publication Date:  2003 Apr 
Date Detail:
Created Date:  2006-08-02     Completed Date:  2007-06-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100954394     Medline TA:  Pain Physician     Country:  United States    
Other Details:
Languages:  eng     Pagination:  191-4     Citation Subset:  -    
Affiliation:
Denver Pain Management, 10050 W. 41st Avenue, Wheat Ridge, CO 80033, USA. bvilims@denverpainmanagment.com
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