Ortho and Regional Anesthesia

Supraclavicular brachial plexus block  History First introduced by Kulemkempff and Percy in 1911 for mid humerus level to hand surgeries.   Relevant anatomy Targets the trunks of brachial plexus formed by C5 -T1 when they form divisions at the level of clavicle.  Subclavian artery lies on top of fist rib along with brachial plexus lying […]

Inter scalene block Brief history: First brachial plexus block was performed by William Steward Halsted in 1889 → by exposing the brachial plexus and using cocaine for blockade. Inter-scalene block was first described by Winnie in 1970. It often spares the lower branches of the plexus the C8 and T1 fibres innervating ulnar border of

 BRACHIAL PLEXUS ANATOMY Provides sensory and motor innervation to upper limb.   Formation– Constitutes anterior primary rami C5 – C8 along with T1. Pre-fixed plexus – C4 is involved Post- fixed plexus – T2 is involved Variations are often associated with cervical rib. Parts of the brachial plexus: Roots, Trunks, Divisions, Cords, Branches.   Roots: