Part IV Nerve Block for Regional Anesthesia and Pain Therapy for Upper Limb

Highlights
- the intercostobrachial nerve runs along the infe-
rior aspect
of the brachial
plexus
sheath in the
infraclavicular-axillary fossa and is often blocked by anes-
thetic spread following infraclavicular injection (View Highlight)
- There is evidence that tourniquet application may be tolerated
better, which is attributed to local anesthetic spread to the
intercostobrachial nerve (View Highlight)
- The brachial plexus runs in a line between the base of the
interscalene groove and the axilla, and knowing this is help-
ful when trying to mentally visualize the location of the bra-
chial plexus. Note that the direction in which this line runs
will differ depending on whether the arm is adducted or
abducted (View Highlight)