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Please cite this article as: Hein T, et al, Ultrasound-guided infraclavicular brachial plexus block for emergency management of a posterior elbow
dislocation, Am J Emerg Med (2015), http://dx.doi.org/10.1016/j.ajem.2015.06.019
Fig. 2. Plain lms showing posterior dislocation of both the radial and ulnar head before
reduction (top panel) and after successful reduction (bottom panel).
References
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[2] Lattanza LL, Keese G. Elbow instability in children. Hand Clin 2008;24(1):13952.
[3] Fredrickson MJ, Wolstencroft P. Evidence-based medicine supports ultrasoundguided infraclavicular block over the corner pocket supraclavicular technique. Reg
Anesth Pain Med 2011;36(5):5256.
[4] Stone MB, Wang R, Price DD. Ultrasound-guided supraclavicular brachial plexus
nerve block vs procedural sedation for the treatment of upper extremity emergencies. Am J Emerg Med 2008;26(6):70610.
[5] Mariano ER, Sandhu NS, Loland VJ, Bishop ML, Madison SJ, Abrams RA, et al. A randomized comparison of infraclavicular and supraclavicular continuous peripheral
nerve blocks for postoperative analgesia. Reg Anesth Pain Med 2011;36(1):2631.
[6] Koscielniak-Nielsen ZJ, Frederiksen BS, Rasmussen H, Hesselbjerg L. A comparison of
ultrasound-guided supraclavicular and infraclavicular blocks for upper extremity
surgery. Acta Anaesthesiol Scand 2009;53(5):6206.
[7] Fredrickson MJ, Patel A, Young S, Chinchanwala S. Speed of onset of corner pocket
supraclavicular and infraclavicular ultrasound guided brachial plexus block: a
randomised observer-blinded comparison. Anaesthesia 2009;64(7):73844.
[8] McCartney CJ, Lin L, Shastri U. Evidence basis for the use of ultrasound for upperextremity blocks. Reg Anesth Pain Med 2010;35(2 Suppl.):S105.
[9] Yazer MS, Finlayson RJ, Tran de QH. A randomized comparison between
infraclavicular block and targeted intracluster injection supraclavicular block. Reg
Anesth Pain Med 2015;40(1):115.
[10] Tran DQ, Charghi R, Finlayson RJ. The double bubble sign for successful
infraclavicular brachial plexus blockade. Anesth Analg 2006;103(4):10489.
[11] Rettig HC, Lerou JG, Gielen MJ, Boersma E, Burm AG. The pharmacokinetics of
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Please cite this article as: Hein T, et al, Ultrasound-guided infraclavicular brachial plexus block for emergency management of a posterior elbow
dislocation, Am J Emerg Med (2015), http://dx.doi.org/10.1016/j.ajem.2015.06.019
Fig. 3. Setup and needle approach for the ultrasound-guided ICB. A, The patient is positioned supine, the operator is at the head of the bed with an unobstructed line of sight to the ultrasound display near the patient's waist. B, A linear or small footprint curvilinear probe is placed in the parasagittal plane just medial to the coracoid process and inferior to the clavicle. At this
position, the pectoralis major and minor muscles are identied with the axillary vein and artery underneath. The brachial cords of the plexus clustered around the artery.
Please cite this article as: Hein T, et al, Ultrasound-guided infraclavicular brachial plexus block for emergency management of a posterior elbow
dislocation, Am J Emerg Med (2015), http://dx.doi.org/10.1016/j.ajem.2015.06.019
Please cite this article as: Hein T, et al, Ultrasound-guided infraclavicular brachial plexus block for emergency management of a posterior elbow
dislocation, Am J Emerg Med (2015), http://dx.doi.org/10.1016/j.ajem.2015.06.019