OBJECTIVES Using a through-the-needle local anesthetic bolus technique, ultrasound-guided infraclavicular perineural catheters have been shown to provide greater analgesia compared to supraclavicular catheters. A through-the-catheter bolus technique, which arguably "tests" the anesthetic efficacy of the catheter before initiating an infusion, has been validated for infraclavicular catheters but...

In the Dissection Team of the Second Chair of Anatomy at the School of Medicine of the University of Buenos Aires, Argentina, during the routine dissection of 78 cadavers (corresponding to 156 supraclavicular fossae),10% formalin fixed, we found the supraclavicularis proprius muscle over the lower part of the left supraclavicular fossa in an adult Caucasian male cadaver. We described this rare ...

An esophageal cancer has frequent metastasis in the cervical and upper mediastinal lymph nodes, in particular along the recurrent nerves. Cervicothoracoabdominal three-field dissection is the most radical and rational lymphadenectomy procedure based on this evidence. During three-field dissection, the nodes along the recurrent nerves from the neck to the mediastinum are more meticulously resect...

BACKGROUND The treatment of lymph nodes engaged in breast cancer with radiotherapy leads to improved locoregional control and enhanced survival rates in patients after surgery. The aim of this study was to compare two treatment techniques, namely single anterior posterior (AP) supraclavicular field with plan depth and two anterior and posterior opposed (AP/PA) supraclavicular fields. In the stu...

Introduction: There are different methods to perform brachial plexus block. Interscalene and supraclavicular approaches are the most frequently used technique during upper limb surgeries.The aims of this study were to compare the onset and duration of sensory and motor block, hemodynamic parameters, sparing of analgesia in any dermatome and to observe any adverse effect during lower arm, elbow ...

To assess the efficacy and toxicity of Intensity-modulated radiotherapy (IMRT) and hyperthermia for upper and middle thoracic esophageal squamous cell carcinoma (UMT-ESCC) with supraclavicular lymph node metastasis. A total of 50 patients with UMT-ESCC with supraclavicular lymph node metastasis were evaluated in this retrospective study. All patients received IMRT. Hyperthermia was delivered si...

BACKGROUND Surgical treatment of thoracic outlet syndrome (TOS) is necessary when non-surgical treatments fail. Complications of surgical procedures vary from short-term post-surgical pain to permanent disability. The outcome of TOS surgery is affected by the visibility during the operation. In this study, we have compared the complications arising during the supraclavicular and the transaxilla...

BACKGROUND A prospective, double blind study was performed to compare the clinical effect of vertical infraclavicular and supraclavicular brachial plexus block using a nerve stimulator for upper limb surgery. METHODS One hundred patients receiving upper limb surgery under infraclavicular or supraclavicular brachial plexus block were enrolled in this study. The infraclavicular brachial plexus ...

Objectives Describe the use of the supraclavicular artery flap for reconstruction of lateral skull and scalp defects. Discuss advantages and potential limitations of the supraclavicular artery flap. Design Case series. Setting Tertiary care academic medical center. Participants Patients undergoing lateral scalp and skull base resections. Main Outcome Measures Effectiveness in reconstructing lat...

A comparative study between anatomical landmark and nerve stimulator guided supraclavicular brachial plexus block for neurovascular variations in topographic anatomy of brachial plexus. In the backdrop of our country, nerve stimulator is still not available in many centres and many anesthetists do not yet have the proper expertise and experience in giving nerve stimulator guided brachial plexus...