Key result
Both supraclavicular and infraclavicular brachial plexus blocks provide effective regional anesthesia for upper extremity surgery, with the infraclavicular approach demonstrating a lower incidence of complications.
Why the study?
Because supraclavicular and infraclavicular approaches are the most common techniques for brachial plexus blocks, the authors sought to critically evaluate the differences between the two.
Does the infraclavicular approach improve safety and efficacy compared to the supraclavicular approach for brachial plexus nerve blocks in patients undergoing upper extremity surgery?
Comparison
Supraclavicular vs infraclavicular brachial plexus nerve block approaches
Design
Review
Authors
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May support infraclavicular preference for fewer complications; leaves open randomized confirmation.
Does the infraclavicular approach improve safety and efficacy compared to the supraclavicular approach for brachial plexus nerve blocks in patients undergoing upper extremity surgery?
Both supraclavicular and infraclavicular brachial plexus blocks are effective and safe under ultrasound guidance, with the infraclavicular approach showing a slight advantage in reducing complications and providing better block distribution.
Kaye et al. (2021) conducted a review in Upper extremity surgery requiring regional anesthesia. Infraclavicular brachial plexus block vs. Supraclavicular brachial plexus block was evaluated. Both supraclavicular and infraclavicular brachial plexus blocks provide effective regional anesthesia for upper extremity surgery, with the infraclavicular approach demonstrating a lower incidence of complications.
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