Infraclavicular Brachial Plexus Block

  • M. Bosco
  • A. Clemente


The ideal brachial plexus block should rapidly produce complete anesthesia of the upper arm, forearm, and hand, permit stable positioning of a catheter and be almost entirely free of side effects and complications. It should be possible to perform the block without having to place the arm in any particular position and be effective even with just a single puncture. The infraclavicular brachial plexus block is a good candidate.


Anatomy of infraclavicular region Infraclavicular plexus block Ultrasound infraclavicular block Comparison of infraclavicular approaches Complications of infraclavicular blocks 


  1. Arcand G, Williams SR, Chouinard P, Boudreault D, Harris P, Ruel M, Girard F (2005) Ultrasound-guided infraclavicular versus supraclavicular block. Anesth Analg 101(3):886–890PubMedCrossRefGoogle Scholar
  2. Bigeleisen P, Wilson M (2006) A comparison of two techniques for ultrasound guided infraclavicular block. Br J Anaesth 96(4):502–507PubMedCrossRefGoogle Scholar
  3. Bloc S, Garnier T, Komly B, Asfazadourian H, Leclerc P, Mercadal L, Morel B, Dhonneur G (2007) Spread of injectate associated with radial or median nerve-type motor response during infraclavicular brachial-plexus block: an ultrasound evaluation. Reg Anesth Pain Med 32(2):130–135PubMedGoogle Scholar
  4. Bloc S, Garnier T, Komly B, Leclerc P, Mercadal L, Morel B, Dhonneur G (2006) Single-stimulation, low-volume infraclavicular plexus block: influence of the evoked distal motor response on success rate. Reg Anesth Pain Med 31(5):433–437PubMedGoogle Scholar
  5. Blumenthal S, Nadig M, Borgeat A (2004) Combined infraclavicular plexus block with suprascapular nerve block for humeral head surgery in a patient with respiratory failure: is an alternative approach really the best option for the lungs? Anesthesiology 100(1):190 (author reply 190–191)Google Scholar
  6. Borene SC, Edwards JN, Boezaart AP (2004) At the cords, the pinkie toward: Interpreting infraclavicular motor responses to neurostimulation. Reg Anesth Pain Med 29(2):125–129PubMedGoogle Scholar
  7. Borgeat A, Ekatodramis G, Dumont C (2001) An evaluation of the infraclavicular block via a modified approach of the Raj technique. Anesth Analg 93(2):436–441PubMedGoogle Scholar
  8. Bowens C Jr, Gupta RK, O’Byrne WT, Schildcrout JS, Shi Y, Hawkins JJ, Michaels DR, Berry JM (2010) Selective local anesthetic placement using ultrasound guidance and neurostimulation for infraclavicular brachial plexus block. Anesth Analg 110(5):1480–1485PubMedCrossRefGoogle Scholar
  9. Brull R, Lupu M, Perlas A, Chan VW, McCartney CJ (2009) Compared with dual nerve stimulation, ultrasound guidance shortens the time for infraclavicular block performance. Can J Anaesth 56(11):812–818PubMedCrossRefGoogle Scholar
  10. Cornish PB, Nowitz M (2005) A magnetic resonance imaging analysis of the infraclavicular region: can brachial plexus depth be estimated before needle insertion? Anesth Analg 100(4):1184–1188PubMedCrossRefGoogle Scholar
  11. De Tran QH, Bertini P, Zaouter C, Munoz L, Finlayson RJ (2010) A prospective, randomized comparison between single- and double-injection ultrasound-guided infraclavicular brachial plexus block. Reg Anesth Pain Med 35(1):16–21PubMedCrossRefGoogle Scholar
  12. De Tran QH, Clemente A, Doan J, Finlayson RJ (2007) Brachial plexus blocks: a review of approaches and techniques. Can J Anaesth 54(8):662–674PubMedCrossRefGoogle Scholar
  13. Deleuze A, Gentili ME, Marret E, Lamonerie L, Bonnet F (2003) A comparison of a single-stimulation lateral infraclavicular plexus block with a triple-stimulation axillary block. Reg Anesth Pain Med 28(2):89–94PubMedGoogle Scholar
  14. Desgagnes MC, Levesque S, Dion N, Nadeau MJ, Cote D, Brassard J, Nicole PC, Turgeon AF (2009) A comparison of a single or triple injection technique for ultrasound-guided infraclavicular block: a prospective randomized controlled study. Anesth Analg 109(2):668–672PubMedCrossRefGoogle Scholar
  15. Desroches J (2003) The infraclavicular brachial plexus block by the coracoid approach is clinically effective: an observational study of 150 patients. Can J Anaesth 50(3):253–257PubMedCrossRefGoogle Scholar
  16. Dhir S, Ganapathy S (2008) Comparative evaluation of ultrasound-guided continuous infraclavicular brachial plexus block with stimulating catheter and traditional technique: a prospective-randomized trial. Acta Anaesthesiol Scand 52(8):1158–1166PubMedCrossRefGoogle Scholar
  17. Dhir S, Ganapathy S (2008) Use of ultrasound guidance and contrast enhancement: a study of continuous infraclavicular brachial plexus approach. Acta Anaesthesiol Scand 52(3):338–342PubMedCrossRefGoogle Scholar
  18. Dingemans E, Williams SR, Arcand G, Chouinard P, Harris P, Ruel M, Girard F (2007) Neurostimulation in ultrasound-guided infraclavicular block: a prospective randomized trial. Anesth Analg 104(5):1275–1280PubMedCrossRefGoogle Scholar
  19. Dolan J (2009) Fascial planes inhibiting the spread of local anesthetic during ultrasound-guided infraclavicular brachial plexus block are not limited to the posterior aspect of the axillary artery. Reg Anesth Pain Med 34(6):612–613PubMedCrossRefGoogle Scholar
  20. Dullenkopf A, Blumenthal S, Theodorou P, Roos J, Perschak H, Borgeat A (2004) Diaphragmatic excursion and respiratory function after the modified Raj technique of the infraclavicular plexus block. Reg Anesth Pain Med 29(2):110–114PubMedGoogle Scholar
  21. Fleischmann E, Marhofer P, Greher M, Waltl B, Sitzwohl C, Kapral S (2003) Brachial plexus anesthesia in children: lateral infraclavicular vs. axillary approach. Paediatr Anaesth 13(2):103–108PubMedCrossRefGoogle Scholar
  22. Frederiksen BS, Koscielniak-Nielsen ZJ, Jacobsen RB, Rasmussen H, Hesselbjerg L (2010) Procedural pain of an ultrasound-guided brachial plexus block: a comparison of axillary and infraclavicular approaches. Acta Anaesthesiol Scand 54(4):408–413PubMedCrossRefGoogle Scholar
  23. Fredrickson MJ, Kilfoyle DH (2009) Neurological complication analysis of 1,000 ultrasound guided peripheral nerve blocks for elective orthopedic surgery: a prospective study. Anesthesia 64(8):836–844CrossRefGoogle Scholar
  24. Fredrickson MJ, Patel A, Young S, Chinchanwala S (2009) Speed of onset of ‘corner pocket supraclavicular’ and infraclavicular ultrasound guided brachial plexus block: a randomised observer-blinded comparison. Anesthesia 64(7):738–744CrossRefGoogle Scholar
  25. Fredrickson MJ, Wolstencroft P, Kejriwal R, Yoon A, Boland MR, Chinchanwala S (2010) Single versus triple injection ultrasound-guided infraclavicular block: confirmation of the effectiveness of the single injection technique. Anesth Analg 111(5):1325–1327PubMedCrossRefGoogle Scholar
  26. Gaertner E, Estebe JP, Zamfir A, Cuby C, Macaire P (2002) Infraclavicular plexus block: multiple injection versus single injection. Reg Anesth Pain Med 27(6):590–594PubMedGoogle Scholar
  27. Gleeton D, Levesque S, Trepanier CA, Gariepy JL, Brassard J, Dion N (2010) Symptomatic axillary hematoma after ultrasound-guided infraclavicular block in a patient with undiagnosed upper extremity mycotic aneurysms. Anesth Analg 111(4):1069–1071PubMedGoogle Scholar
  28. Grossi P (2001) Brachial plexus block. The anesthetic line is a guide for new approaches. Minerva Anestesiol 67(9 Suppl 1):45–49Google Scholar
  29. Gu HH, Che XH, Li PY, Liang WM (2007) Low minimal stimulating current improves infraclavicular brachial plexus block efficacy. Zhonghua Yi Xue Za Zhi 87(21):1470–1473PubMedGoogle Scholar
  30. Gurkan Y, Acar S, Solak M, Toker K (2008) Comparison of nerve stimulation vs. ultrasound-guided lateral sagittal infraclavicular block. Acta Anaesthesiol Scand 52(6):851–855PubMedCrossRefGoogle Scholar
  31. Gurkan Y, Hosten T, Solak M, Toker K (2008) Lateral sagittal infraclavicular block: clinical experience in 380 patients. Acta Anaesthesiol Scand 52(2):262–266PubMedCrossRefGoogle Scholar
  32. Gurkan Y, Ozdamar D, Solak M, Toker K (2008) Lateral sagittal infraclavicular block is a clinically effective block in children. Eur J Anaesthesiol 25(11):949–951PubMedCrossRefGoogle Scholar
  33. Gurkan Y, Tekin M, Acar S, Solak M, Toker K (2010) Is nerve stimulation needed during an ultrasound-guided lateral sagittal infraclavicular block? Acta Anaesthesiol Scand 54(4):403–407PubMedCrossRefGoogle Scholar
  34. Hadzic A, Arliss J, Kerimoglu B, Karaca PE, Yufa M, Claudio RE, Vloka JD, Rosenquist R, Santos AC, Thys DM (2004) A comparison of infraclavicular nerve block versus general anesthesia for hand and wrist day-case surgeries. Anesthesiology 101(1):127–132PubMedCrossRefGoogle Scholar
  35. Hosten T, Gurkan Y, Solak M, Toker K (2008) A case of Horner’s syndrome following lateral sagittal infraclavicular block. Agri 20(4):45–48PubMedGoogle Scholar
  36. Ilfeld BM, Le LT, Ramjohn J, Loland VJ, Wadhwa AN, Gerancher JC, Renehan EM, Sessler DI, Shuster JJ, Theriaque DW et al (2009) The effects of local anesthetic concentration and dose on continuous infraclavicular nerve blocks: a multicenter, randomized, observer-masked, controlled study. Anesth Analg 108(1):345–350PubMedCrossRefGoogle Scholar
  37. Ilfeld BM, Morey TE, Enneking FK (2004) Infraclavicular perineural local anesthetic infusion: a comparison of three dosing regimens for postoperative analgesia. Anesthesiology 100(2):395–402PubMedCrossRefGoogle Scholar
  38. Ilfeld BM, Morey TE, Enneking FK (2002) Continuous infraclavicular brachial plexus block for postoperative pain control at home: a randomized, double-blinded, placebo-controlled study. Anesthesiology 96(6):1297–1304PubMedCrossRefGoogle Scholar
  39. Ilfeld BM, Morey TE, Enneking FK (2003) Continuous infraclavicular perineural infusion with clonidine and ropivacaine compared with ropivacaine alone: a randomized, double-blinded, controlled study. Anesth Analg 97(3):706–712PubMedCrossRefGoogle Scholar
  40. Jiang XB, Zhu SZ, Jiang Y, Chen QH, Xu XZ (2009) Optimal dose of local anesthetic mixture in ultrasound-guided infraclavicular brachial plexus block via coracoid approach: analysis of 160 cases. Zhonghua Yi Xue Za Zhi 89(7):449–452Google Scholar
  41. Kapral S, Jandrasits O, Schabernig C, Likar R, Reddy B, Mayer N, Weinstabl C (1999) Lateral infraclavicular plexus block vs. axillary block for hand and forearm surgery. Acta Anaesthesiol Scand 43(10):1047–1052PubMedCrossRefGoogle Scholar
  42. Keschner MT, Michelsen H, Rosenberg AD, Wambold D, Albert DB, Altman R, Green S, Posner M (2006) Safety and efficacy of the infraclavicular nerve block performed at low current. Pain Pract 6(2):107–111PubMedCrossRefGoogle Scholar
  43. Kilka HG, Geiger P, Mehrkens HH (1995) Infraclavicular vertical brachial plexus blockade. A new method for anesthesia of the upper extremity. An anatomical and clinical study. Anaesthesist 44(5):339–344PubMedCrossRefGoogle Scholar
  44. Klaastad O, Lilleas FG, Rotnes JS, Breivik H, Fosse E (2000) A magnetic resonance imaging study of modifications to the infraclavicular brachial plexus block. Anesth Analg 91(4):929–933PubMedCrossRefGoogle Scholar
  45. Klaastad O, Lilleas FG, Rotnes JS, Breivik H, Fosse E (1999) Magnetic resonance imaging demonstrates lack of precision in needle placement by the infraclavicular brachial plexus block described by Raj et al. Anesth Analg 88(3):593–598PubMedGoogle Scholar
  46. Klaastad O, Smedby O, Kjelstrup T, Smith HJ (2005) The vertical infraclavicular brachial plexus block: a simulation study using magnetic resonance imaging. Anesth Analg 101(1):273–278PubMedCrossRefGoogle Scholar
  47. Klaastad O, Smith HJ, Smedby O, Winther-Larssen EH, Brodal P, Breivik H, Fosse ET (2004) A novel infraclavicular brachial plexus block: the lateral and sagittal technique, developed by magnetic resonance imaging studies. Anesth Analg 98(1):252–256PubMedCrossRefGoogle Scholar
  48. Klein SM (2002) Beyond the hospital: continuous peripheral nerve blocks at home. Anesthesiology 96(6):1283–1285PubMedCrossRefGoogle Scholar
  49. Koscielniak-Nielsen ZJ, Frederiksen BS, Rasmussen H, Hesselbjerg L (2009) A comparison of ultrasound-guided supraclavicular and infraclavicular blocks for upper extremity surgery. Acta Anaesthesiol Scand 53(5):620–626PubMedCrossRefGoogle Scholar
  50. Koscielniak-Nielsen ZJ, Rasmussen H, Hesselbjerg L, Gurkan Y, Belhage B (2005) Clinical evaluation of the lateral sagittal infraclavicular block developed by MRI studies. Reg Anesth Pain Med 30(4):329–334PubMedCrossRefGoogle Scholar
  51. Koscielniak-Nielsen ZJ, Rasmussen H, Hesselbjerg L, Nielsen TP, Gurkan Y (2005) Infraclavicular block causes less discomfort than axillary block in ambulatory patients. Acta Anaesthesiol Scand 49(7):1030–1034PubMedCrossRefGoogle Scholar
  52. Koscielniak-Nielsen ZJ, Rasmussen H, Hesselbjerg L (2008) Pneumothorax after an ultrasound-guided lateral sagittal infraclavicular block. Acta Anaesthesiol Scand 52(8):1176–1177PubMedCrossRefGoogle Scholar
  53. Lecamwasam H, Mayfield J, Rosow L, Chang Y, Carter C, Rosow C (2006) Stimulation of the posterior cord predicts successful infraclavicular block. Anesth Analg 102(5):1564–1568PubMedCrossRefGoogle Scholar
  54. Mariano ER, Loland VJ, Bellars RH, Sandhu NS, Bishop ML, Abrams RA, Meunier MJ, Maldonado RC, Ferguson EJ, Ilfeld BM (2009) Ultrasound guidance versus electrical stimulation for infraclavicular brachial plexus perineural catheter insertion. J Ultrasound Med 28(9):1211–1218PubMedGoogle Scholar
  55. Minville V, Amathieu R, Luc N, Gris C, Fourcade O, Samii K, Benhamou D (2005) Infraclavicular brachial plexus block versus humeral approach: comparison of anesthetic time and efficacy. Anesth Analg 101(4):1198–1201PubMedCrossRefGoogle Scholar
  56. Minville V, Asehnoune K, Chassery C, N’Guyen L, Gris C, Fourcade O, Samii K, Benhamou D (2005) Resident versus staff anesthesiologist performance: coracoid approach to infraclavicular brachial plexus blocks using a double-stimulation technique. Reg Anesth Pain Med 30(3):233–237PubMedGoogle Scholar
  57. Minville V, Fourcade O, Bourdet B, Doherty M, Chassery C, Pourrut JC, Gris C, Eychennes B, Colombani A, Samii K et al (2007) The optimal motor response for infraclavicular brachial plexus block. Anesth Analg 104(2):448–451PubMedCrossRefGoogle Scholar
  58. Minville V, Fourcade O, Idabouk L, Claassen J, Chassery C, Nguyen L, Pourrut JC, Benhamou D (2006) Infraclavicular brachial plexus block versus humeral block in trauma patients: a comparison of patient comfort. Anesth Analg 102(3):912–915PubMedCrossRefGoogle Scholar
  59. Minville V, N’Guyen L, Chassery C, Zetlaoui P, Pourrut JC, Gris C, Eychennes B, Benhamou D, Samii K (2005) A modified coracoid approach to infraclavicular brachial plexus blocks using a double-stimulation technique in 300 patients. Anesth Analg 100(1):263–265PubMedCrossRefGoogle Scholar
  60. Morimoto M, Popovic J, Kim JT, Kiamzon H, Rosenberg AD (2007) Case series: Septa can influence local anesthetic spread during infraclavicular brachial plexus blocks. Can J Anaesth 54(12):1006–1010PubMedCrossRefGoogle Scholar
  61. Morin AM, Kranke P, Wulf H, Stienstra R, Eberhart LH (2010) The effect of stimulating versus nonstimulating catheter techniques for continuous regional anesthesia: a semiquantitative systematic review. Reg Anesth Pain Med 35(2):194–199PubMedCrossRefGoogle Scholar
  62. Neal JM (2001) How close is close enough? Defining the “paresthesia chad”. Reg Anesth Pain Med 26(2):97–99PubMedGoogle Scholar
  63. Neuburger M, Buttner J, Blumenthal S, Breitbarth J, Borgeat A (2007) Inflammation and infection complications of 2,285 perineural catheters: a prospective study. Acta Anaesthesiol Scand 51(1):108–114PubMedCrossRefGoogle Scholar
  64. Neuburger M, Landes H, Kaiser H (2000) Pneumothorax in vertical infraclavicular block of the brachial plexus. Review of a rare complication. Anaesthesist 49(10):901–904PubMedCrossRefGoogle Scholar
  65. Ootaki C, Hayashi H, Amano M (2000) Ultrasound-guided infraclavicular brachial plexus block: an alternative technique to anatomical landmark-guided approaches. Reg Anesth Pain Med 25(6):600–604PubMedGoogle Scholar
  66. Piangatelli C, De Angelis C, Pecora L, Recanatini F, Cerchiara P, Testasecca D (2006) Levobupivacaine and ropivacaine in the infraclavicular brachial plexus block. Minerva Anestesiol 72(4):217–221PubMedGoogle Scholar
  67. Raj PP, Montgomery SJ, Nettles D, Jenkins MT (1973) Infraclavicular brachial plexus block–a new approach. Anesth Analg 52(6):897–904PubMedCrossRefGoogle Scholar
  68. Rettig HC, Gielen MJ, Boersma E, Klein J, Groen GJ (2005) Vertical infraclavicular block of the brachial plexus: effects on hemidiaphragmatic movement and ventilatory function. Reg Anesth Pain Med 30(6):529–535PubMedGoogle Scholar
  69. Rettig HC, Gielen MJ, Boersma E, Klein J (2005) A comparison of the vertical infraclavicular and axillary approaches for brachial plexus anesthesia. Acta Anaesthesiol Scand 49(10):1501–1508PubMedCrossRefGoogle Scholar
  70. Rodrguez J, Barcena M, Alvarez J (2003) Shoulder dislocation after infraclavicular coracoid block. Reg Anesth Pain Med 28(4):351–353PubMedGoogle Scholar
  71. Rodriguez J, Barcena M, Alvarez J (2003) Restricted infraclavicular distribution of the local anesthetic solution after infraclavicular brachial plexus block. Reg Anesth Pain Med 28(1):33–36PubMedGoogle Scholar
  72. Rodriguez J, Barcena M, Lagunilla J, Alvarez J (2004) Increased success rate with infraclavicular brachial plexus block using a dual-injection technique. J Clin Anesth 16(4):251–256PubMedCrossRefGoogle Scholar
  73. Rodriguez J, Barcena M, Rodriguez V, Aneiros F, Alvarez J (1998) Infraclavicular brachial plexus block effects on respiratory function and extent of the block. Reg Anesth Pain Med 23(6):564–568PubMedGoogle Scholar
  74. Rodriguez J, Barcena M, Taboada-Muniz M, Lagunilla J, Alvarez J (2004) A comparison of single versus multiple injections on the extent of anesthesia with coracoid infraclavicular brachial plexus block. Anesth Analg 99(4):1225–1230PubMedCrossRefGoogle Scholar
  75. Rodriguez J, Taboada M, Oliveira J, Ulloa B, Barcena M, Alvarez J (2010) Single stimulation of the posterior cord is superior to dual nerve stimulation in a coracoid block. Acta Anaesthesiol Scand 54(2):241–245PubMedCrossRefGoogle Scholar
  76. Rodriguez J, Taboada-Muniz M, Barcena M, Alvarez J (2004) Median versus musculocutaneous nerve response with single-injection infraclavicular coracoid block. Reg Anesth Pain Med 29(6):534–538 (discussion 520–533)Google Scholar
  77. Salazar CH, Espinosa W (1999) Infraclavicular brachial plexus block: variation in approach and results in 360 cases. Reg Anesth Pain Med 24(5):411–416PubMedGoogle Scholar
  78. Salengros JC, Jacquot C, Hesbois A, Vandesteene A, Engelman E, Pandin P (2007) Delayed Horner’s syndrome during a continuous infraclavicular brachial plexus block. J Clin Anesth 19(1):57–59PubMedCrossRefGoogle Scholar
  79. Salinas FV (2003) Location, location, location: Continuous peripheral nerve blocks and stimulating catheters. Reg Anesth Pain Med 28(2):79–82PubMedGoogle Scholar
  80. Sanchez HB, Mariano ER, Abrams R, Meunier M (2008) Pneumothorax following infraclavicular brachial plexus block for hand surgery. Orthopedics 31(7):709PubMedGoogle Scholar
  81. Sandhu NS, Bahniwal CS, Capan LM (2006) Feasibility of an infraclavicular block with a reduced volume of lidocaine with sonographic guidance. J Ultrasound Med 25(1):51–56PubMedGoogle Scholar
  82. Sandhu NS, Capan LM (2002) Ultrasound-guided infraclavicular brachial plexus block. Br J Anaesth 89(2):254–259PubMedCrossRefGoogle Scholar
  83. Sandhu NS, Sidhu DS, Capan LM (2004) The cost comparison of infraclavicular brachial plexus block by nerve stimulator and ultrasound guidance. Anesth Analg 98(1):267–268PubMedCrossRefGoogle Scholar
  84. Sauter AR, Dodgson MS, Stubhaug A, Halstensen AM, Klaastad O (2008) Electrical nerve stimulation or ultrasound guidance for lateral sagittal infraclavicular blocks: a randomized, controlled, observer-blinded, comparative study. Anesth Analg 106(6):1910–1915PubMedCrossRefGoogle Scholar
  85. Sedeek KA, Goujard E (2007) The lateral sagittal infraclavicular block in children. Anesth Analg 105(1):295–297PubMedCrossRefGoogle Scholar
  86. Slater ME, Williams SR, Harris P, Brutus JP, Ruel M, Girard F, Boudreault D (2007) Preliminary evaluation of infraclavicular catheters inserted using ultrasound guidance: through-the-catheter anesthesia is not inferior to through-the-needle blocks. Reg Anesth Pain Med 32(4):296–302PubMedGoogle Scholar
  87. Soares LG, Brull R, Lai J, Chan VW (2007) Eight ball, corner pocket: the optimal needle position for ultrasound-guided supraclavicular block. Reg Anesth Pain Med 32(1):94–95PubMedGoogle Scholar
  88. Taboada M, Rodriguez J, Amor M, Sabate S, Alvarez J, Cortes J, Atanassoff PG (2009) Is ultrasound guidance superior to conventional nerve stimulation for coracoid infraclavicular brachial plexus block? Reg Anesth Pain Med 34(4):357–360PubMedCrossRefGoogle Scholar
  89. Tedore TR, YaDeau JT, Maalouf DB, Weiland AJ, Tong-Ngork S, Wukovits B, Paroli L, Urban MK, Zayas VM, Wu A et al (2009) Comparison of the transarterial axillary block and the ultrasound-guided infraclavicular block for upper extremity surgery: a prospective randomized trial. Reg Anesth Pain Med 34(4):361–365PubMedCrossRefGoogle Scholar
  90. de Tran QH, Charghi R, Finlayson RJ (2006) The “double bubble” sign for successful infraclavicular brachial plexus blockade. Anesth Analg 103(4):1048–1049CrossRefGoogle Scholar
  91. de Tran QH, Clemente A, Tran DQ, Finlayson RJ (2008) A comparison between ultrasound-guided infraclavicular block using the “double bubble” sign and neurostimulation-guided axillary block. Anesth Analg 107(3):1075–1078PubMedCrossRefGoogle Scholar
  92. de Tran QH, Dugani S, Dyachenko A, Correa JA, Finlayson RJ (2011) Minimum effective volume of lidocaine for ultrasound-guided infraclavicular block. Reg Anesth Pain Med 36(2):190–194CrossRefGoogle Scholar
  93. de Tran QH, Russo G, Munoz L, Zaouter C, Finlayson RJ (2009) A prospective, randomized comparison between ultrasound-guided supraclavicular, infraclavicular, and axillary brachial plexus blocks. Reg Anesth Pain Med 34(4):366–371CrossRefGoogle Scholar
  94. Tran QD, Gordon A, Asenjo JF, de la Cuadra-Fontaine JC (2005) Retained and cut stimulating infraclavicular catheter. Can J Anaesth 52(9):998–999PubMedCrossRefGoogle Scholar
  95. Tsao BE, Wilbourn AJ (2004) Infraclavicular brachial plexus injury following axillary regional block. Muscle Nerve 30(1):44–48PubMedCrossRefGoogle Scholar
  96. Wang FY, Wu SH, Lu IC, Hsu HT, Soo LY, Tang CS, Chu KS (2007) Ultrasonographic examination to search out the optimal upper arm position for coracoid approach to infraclavicular brachial plexus block–a volunteer study. Acta Anaesthesiol Taiwan 45(1):15–20PubMedGoogle Scholar
  97. Wilson JL, Brown DL, Wong GY, Ehman RL, Cahill DR (1998) Infraclavicular brachial plexus block: parasagittal anatomy important to the coracoid technique. Anesth Analg 87(4):870–873PubMedGoogle Scholar
  98. Yang CW, Kwon HU, Cho CK, Jung SM, Kang PS, Park ES, Heo YM, Shinn HK (2010) A comparison of infraclavicular and supraclavicular approaches to the brachial plexus using neurostimulation. Korean J Anesthesiol 58(3):260–266PubMedCrossRefGoogle Scholar

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© Springer-Verlag Italia 2014

Authors and Affiliations

  1. 1.Department of Anesthesiology and Critical Care MedicineCatholic University of the Sacred HeartRomeItaly
  2. 2.Anesthesiology, Intensive Care and Pain Therapy ServiceIRCCS—Immacolata Dermopathic Institute (IDI)RomeItaly

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