. Regional anesthesia : its technic and clinical application . Fig. 155.—Brachial plexus block by the supraclavicular route. The midpointclavicle is generally in the prolongation of the external jugular vein. finger the subclavian artery is retracted inward and downward and nee-dle No. 2 (5 cm.), unattached to the s>Tinge, inserted through the whealclose to the tip of the index-finger, and advanced backward, downward,and inward toward the first rib (Fig. 156). BLOCKING OF SPINAL NERVES [93 The needle should be introduced gently and gradually after piercingthe deep fascia, since the brachial
. Regional anesthesia : its technic and clinical application . Fig. 155.—Brachial plexus block by the supraclavicular route. The midpointclavicle is generally in the prolongation of the external jugular vein. finger the subclavian artery is retracted inward and downward and nee-dle No. 2 (5 cm.), unattached to the s>Tinge, inserted through the whealclose to the tip of the index-finger, and advanced backward, downward,and inward toward the first rib (Fig. 156). BLOCKING OF SPINAL NERVES [93 The needle should be introduced gently and gradually after piercingthe deep fascia, since the brachial plexus Ues at that level Just beneaththe fascia. If paresthesias are not obtained after the needle has been. Fig. 156.—Brachial plexus block by the supraclavicular route. With the index-finger on the subclavian artery, the needle is inserted through the wheal raised 1 the midpoint of the clavicle and advanced in the direction of the first rib. introduced from 2 to 3 cm., it ordinarily comes in contact with theupper surface of the first rib, unless the needle is advanced in a wrongdirection. Absence of paresthesias is a proof that the needle has passed13 194 REGIONAL ANESTHESIA between the branches of the plexus without touching any of them. Theneedle should then be partially withdrawn and its direction slightlychanged. Contact with one of the cords of the plexus induces radiating
Size: 1328px × 1881px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1920, bookidregionalanes, bookyear1922
