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West J Emerg Med. 2014 Sep;15(6):703-5. doi: 10.5811/westjem.2014.5.21716.

Color Doppler ultrasound-guided supraclavicular brachial plexus block to prevent vascular injection.

Author information

1
Alameda County Medical Center, Highland General Hospital, Oakland, California.
2
Alameda County Medical Center, Highland General Hospital, Oakland, California ; University of California San Francisco, Highland General Hospital, Oakland, California.

Abstract

Ultrasound-guided nerve blocks are quickly becoming integrated into emergency medicine practice for pain control and as an alternative to procedural sedation. Common, but potentially catastophic errors have not been reported outside of the anesthesiology literature. Evaluation of the brachial plexus with color Doppler should be standard for clinicians performing a supraclavicular brachial plexus block to determine ideal block location and prevention of inadvertant intravascular injection.

PMID:
25247047
PMCID:
PMC4162733
DOI:
10.5811/westjem.2014.5.21716
[Indexed for MEDLINE]
Free PMC Article

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