Header bg
  • Users Online: 120
  • Print this page
  • Email this page
Header bg
Year : 2020  |  Volume : 4  |  Issue : 6  |  Page : 50-54

Ultrasound-guided supra-axillary block as a supplement to subclavian perivascular brachial plexus block for surgeries around the elbow: A prospective feasibility study

Department of Anaesthesiology, Ganga Medical Centre and Hospitals Pvt Ltd, Coimbatore, Tamil Nadu, India

Correspondence Address:
Dr. Tuhin Mistry
G 304, Jainam Planet, Tatibandh, Raipur - 492 099, Chhattisgarh
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/BJOA.BJOA_81_20

Rights and Permissions

Background: The dermatomal area supplied by the intercostobrachial nerve (ICBN) and medial cutaneous nerve of the arm (MCNA) are not reliably blocked by currently used approaches of the brachial plexus block. This feasibility study is aimed at determining the efficacy of the novel ultrasound-guided supraaxillary block. Patients and Methods: This prospective, observational study was conducted on patients undergoing surgeries around the elbow. Sixty American Society of Anesthesiologists Physical Status I and II patients aged between 18 and 60 years were recruited. The supraaxillary block was performed in addition to the subclavian perivascular brachial plexus block in all patients. The local anesthetic (LA) mixture was prepared with 10 ml of 2% lignocaine-adrenaline, 15 ml of 0.5% bupivacaine, and 10 ml of 0.9% saline. 20 ml of the LA solution was used for supraclavicular block, and 15 ml was injected in the supra-axillary area. Results: The onset of sensory and motor block for the subclavian perivascular block was 4.30 ± 0.891 and 8.12 ± 0.872 min, respectively. The onset of the supra-axillary block was 9.50 ± 0.707 min. Only 6.67% of the patients needed additional local infiltration. Conclusion: Ultrasound-guided single-shot injection of LA in the supra-axillary area as a supplement to subclavian perivascular brachial plexus block achieved complete anesthesia for surgical procedures around the elbow by blocking the ICBN and MCNA.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded65    
    Comments [Add]    

Recommend this journal