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Infraclavicular brachial plexus block for regional anaesthesia of the lower arm

  1. Ki Jinn Chin1,*,
  2. Husni Alakkad1,
  3. Sanjib D Adhikary2,
  4. Mandeep Singh1

Editorial Group: Cochrane Anaesthesia Group

Published Online: 28 AUG 2013

Assessed as up-to-date: 7 JUN 2013

DOI: 10.1002/14651858.CD005487.pub3


How to Cite

Chin KJ, Alakkad H, Adhikary SD, Singh M. Infraclavicular brachial plexus block for regional anaesthesia of the lower arm. Cochrane Database of Systematic Reviews 2013, Issue 8. Art. No.: CD005487. DOI: 10.1002/14651858.CD005487.pub3.

Author Information

  1. 1

    University of Toronto, Department of Anesthesia, Toronto, Ontario, Canada

  2. 2

    Penn State College of Medicine, Milton S Hershey Medical Centre, Department of Anesthesiology, Hershey, Pennsylvania, USA

*Ki Jinn Chin, Department of Anesthesia, University of Toronto, Toronto Western Hospital, 399 Bathurst Street, Toronto, Ontario, M5T 2S8, Canada. gasgenie@gmail.com.

Publication History

  1. Publication Status: New search for studies and content updated (conclusions changed)
  2. Published Online: 28 AUG 2013

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References

References to studies included in this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. References to ongoing studies
  5. Additional references
  6. References to other published versions of this review
Arcand 2005 {published data only}
  • Arcand G, Williams SR, Chouinard P, Boudreault D, Harris P, Ruel M, et al. Ultrasound-guided infraclavicular versus supraclavicular block. Anesthesia and Analgesia 2005;101:886-90. [PUBMED: 16116009 ]
Caruselli 2005 {published data only}
  • Caruselli M, Giretti R. Loco-regional anesthesia in upper limb trauma in pediatric age: comparison between the parascalene and the infraclavicular approaches to brachial plexus block [Anestesia locoregionale nella traumatologia dell'arto superiore in eta pediatrica: confronto tra blocco del plesso brachiale per via parascalenica e via infraclaveare]. Acta Anaesthesiologica Italica 2005;56:210-20. [CENTRAL: CN-00557733; EMBASE: 2005537640]
De Jose Maria 2008 {published data only}
Deleuze 2003 {published data only}
  • Deleuze A, Gentili ME, Marret E, Lamonerie L, Bonnet F. A comparison of a single-stimulation lateral infraclavicular plexus block with a triple-stimulation axillary block. Regional Anesthesia and Pain Medicine 2003;28:89-94. [PUBMED: 12677616 ]
Ertug 2005 {published data only}
Fleischmann 2003 {published data only}
Frederiksen 2010 {published data only}
Fredrickson 2009 {published data only}
Heid 2005 {published data only}
Kapral 1999 {published data only}
  • Kapral S, Jandrasits O, Schabernig C, Likar R, Reddy B, Mayer N. Lateral infraclavicular plexus block vs. axillary block for hand and forearm surgery. Acta Anaesthesiologica Scandinavica 1999;43:1047-52. [PUBMED: 10593469 ]
Koscielniak-N 2000 {published and unpublished data}
Koscielniak-N 2005 {published and unpublished data}
Koscielniak-N 2009 {published data only}
Minville 2005 {published data only}
  • Minville V, Amathieu R, Nguyen L, Gris C, Fourcade O, Samii K, et al. Infraclavicular brachial plexus block versus humeral approach: comparison of anesthetic time and efficacy. Anesthesia and Analgesia 2005;101:1198-201. [PUBMED: 16192544 ]
Minville 2006 {published data only}
  • Minville V, Fourcade O, Idabouk L, Claassen J, Chassery C, Nguyen L, et al. Infraclavicular brachial plexus block versus humeral block in trauma patients: a comparison of patient comfort. Anesthesia and Analgesia 2006;102:912-6. [PUBMED: 16492851]
Niemi 2007 {published data only}
  • Niemi TT, Salmela L, Aromaa U, Pöyhiä R, Rosenberg PH. Single-injection brachial plexus anesthesia for arteriovenous fistula surgery of the forearm: a comparison of infraclavicular coracoid and axillary approach. Regional Anesthesia and Pain Medicine 2007;32(1):55-9. [PUBMED: 17196493 ]
Rettig 2005 {published and unpublished data}
Song 2011 {published data only}
  • Song IA, Gil NS, Choi E, Sim SE, Min SW, Ro YJ, et al. Axillary approach versus the infraclavicular approach in ultrasound-guided brachial plexus block: comparison of anesthetic time. Korean Journal of Anesthesiology 2011;61(1):12-8. [PUBMED: 21860745]
Tedore 2009 {published data only}
  • Tedore TR, YaDeau JT, Maalouf DB, Weiland AJ, Tong-Ngork S, Wukovits B. Comparison of the transarterial axillary block and the ultrasound-guided infraclavicular block for upper extremity surgery: A prospective randomized trial. Regional Anesthesia and Pain Medicine 2009;34(4):361-5. [PUBMED: 19574870]
Tran 2008 {published and unpublished data}
  • Tran de QH, Clemente A, Tran DQ, Finlayson RJ. A comparison between ultrasound-guided infraclavicular block using the "double bubble" sign and neurostimulation-guided axillary block. Anesthesia and Analgesia 2008;107(3):1075-8. [PUBMED: 18713932]
Tran 2009 {published data only}
  • Tran DQH, Russo G, Munoz L, Zaouter C, Finlayson RJ. A prospective, randomized comparison between ultrasound-guided supraclavicular, infraclavicular, and axillary brachial plexus blocks. Regional Anesthesia and Pain Medicine 2009;34(4):366-71. [PUBMED: 19574871]
Yang 2010 {published data only}
  • Yang CW, Kwon HU, Cho CK, Jung SM, Kang PS, Park ES, et al. A comparison of infraclavicular and supraclavicular approaches to the brachial plexus using neurostimulation. Korean Journal of Anesthesiology 2010;58(3):260-6. [PUBMED: 20498775]

References to studies excluded from this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. References to ongoing studies
  5. Additional references
  6. References to other published versions of this review
Fredrickson 2011 {published data only}
  • Fredrickson MJ, Wolstencroft P. Evidence-based medicine supports ultrasound-guided infraclavicular block over the corner pocket supraclavicular technique. Regional Anesthesia and Pain Medicine 2011;36(5):525-6.
Mariano 2008 {published data only}
  • Mariano ER, Cheng GS, Loland VJ, Chu LF. Comparison of supplementation rates for perivascular axillary and coracoid infraclavicular blocks in ambulatory upper extremity surgery. Ambulatory Surgery 2008;14(2):53-5.
Mariano 2011a {published data only}
Mariano 2011b {published data only}
  • 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. Regional Anesthesia and Pain Medicine 2011;36(1):26-31.
Neuburger 1998 {published data only}
  • Neuburger M, Kaiser H, Rembold-Schuster I, Landes H. Vertical infraclavicular brachial-plexus blockade. A clinical study of reliability of a new method for plexus anesthesia of the upper extremity [Vertikale infraklavikulare Plexus-brachialis-Blockade. Klinische Studie zur Anwendbarkeit einer neuen Methode der Plexusanasthesie der oberen Extremitat]. Anaesthetist 1998;47(7):595-9. [PUBMED: 9740934 ]
Rodriguez 2003 {published data only}
  • Rodriguez J, Barcena M, Alvarez J. Restricted infraclavicular distribution of the local anesthetic solution after infraclavicular brachial plexus block. Regional Anesthesia and Pain Medicine 2003;28:33-6. [PUBMED: 12567341]

References to studies awaiting assessment

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. References to ongoing studies
  5. Additional references
  6. References to other published versions of this review
Astore 2012 {published data only}
  • Astore F, Altolaguirre N, Riberi F. A comparison between infraclavicular brachial plexus block and humeral approach: Effectiveness, anesthesia time, analgesia duration and complications. British Journal of Anaesthesia 2012;108:ii426.
Danelli 2008 {unpublished data only}
  • Danelli G, Dallospedale A, Markidis A, Fanelli G. Onset Time of Brachial Plexus Anesthesia With the Axillary or Infraclavicular Approach Under Real-Time Ultrasound Guidance: a Randomized Controlled Trial. ClinicalTrials.gov registry.
Lopez Morales 2011 {published data only}
  • Lopez-Morales S, Moreno-Martin A, Morgado-Munoz I, Fernandez-Carrion JM, Rodriguez-Huertas F. Ultrasound-guided axillary vs infraclavicular block for upper extremity surgery: Preliminary results. European Journal of Anaesthesiology 2011;28:113.

References to ongoing studies

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. References to ongoing studies
  5. Additional references
  6. References to other published versions of this review
Boivin 2013 {unpublished data only}
  • Boivin A, Nadeau MJ, Dion N, Levesque S, Nicole PC, Turgeon AF. Comparison of ultrasound-guided infraclavicular block and ultrasound-guided axillary block. ClinicalTrials.gov NCT01761175.
Hillel Yaffe 2013 {unpublished data only}
  • Hillel Yaffe Medical Center. Comparison of quality of supraclavicular, infraclavicular and axillary approach of ultrasound-guided brachial plexus block. Clinicaltrials.gov NCT01442558.

Additional references

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. References to ongoing studies
  5. Additional references
  6. References to other published versions of this review
Borgeat 2001
Brown 1993
Chan 2007
  • Chan VW, Perlas A, McCartney CJ, Brull R, Xu D, Abbas S. Ultrasound guidance improves success rate of axillary brachial plexus block. Canadian Journal of Anesthesia 2007;54:176-82.
Chin 2008
Cousins 1998
  • Cousins MJ, Bridenbaugh PO. The upper extremity: somatic block. Neural Blockade in Clinical Anesthesia and Management of Pain. 3rd Edition. Lippincott Williams & Wilkins, 1998:345-61.
Dalens 1987
  • Dalens B, Vaanneuville G, Tanguy A. A new parascalene approach to the brachial plexus in children: comparison with supraclavicular approach. Anesthesia and Analgesia 1987;66:1264-71. [PUBMED: 3688498 ]
De Andres 2002
  • De Andres J, Sala-Blanch X. Ultrasound in the practice of brachial plexus anesthesia. Regional Anesthesia and Pain Medicine 2002;27:77-89. [PUBMED: 1799509]
DerSimonian 1986
Desroches 2003
  • Desroches J. The infraclavicular brachial plexus block by the coracoid approach is clinically effective: an observational study of 150 patients. Canadian Journal of Anesthesia 2003;50(3):253-7. [PUBMED: 12620948]
Dingemans 2007
  • Dingemans E, Williams SR, Arcand G, Chouinard P, Harris P, Ruel M, et al. Neurostimulation in ultrasound-guided infraclavicular block: a prospective randomized trial. Anesthesia and Analgesia 2007;104:1275-80.
Higgins 2011
  • Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions. Version 5.1.0. The Cochrane Collaboration, 2011.
Jandard 2002
  • Jandard C, Gentili ME, Girard F, Ecoffey C, Heck M, Laxenaire MC, et al. Infraclavicular block with lateral approach and nerve stimulation: extent of anesthesia and adverse effects. Regional Anesthesia and Pain Medicine 2002;27:37-42. [MEDLINE: 11799503]
Kapral 1996
  • Kapral S, Jandrasits O, Aram L. Lateral infraclavicular block: a new technique for regional anesthesia of the brachial plexus. Anesthesiology 1996;85:A738.
Kilka 1995
Klaastad 2004
  • Klaastad O, Smith HJ, Smedby O, Winther-Larssen EH, Brodal P, Breivik H. A novel infraclavicular brachial plexus block: the lateral and sagittal technique, developed by magnetic resonance imaging studies. Anesthesia and Analgesia 2004;98:252-6. [PUBMED: 14693630 ]
McCartney 2010
Minville 2004
  • Minville V, N'Guyen L, Chassery C, Zetlaoui P, Pourrut JC, Gris C, et al. A modified coracoid approach to infraclavicular brachial plexus blocks using a double-stimulation technique in 300 patients. Anesthesia and Analgesia 2004;100:263-5. [MEDLINE: 15616088]
Raj 1973
  • Raj PP, Montgomery SJ, Nettles D, Jenkins MT. Infraclavicular brachial plexus block - a new approach. Anesthesia and Analgesia 1973;52:897-904. [MEDLINE: 4796563]
RevMan 5.2
  • The Nordic Cochrane Centre, The Cochrane Collaboration. Review Manager (RevMan) [Computer Program]. 5.2. Copenhagen: The Nordic Cochrane Centre, The Cochrane Collaboration, 2012.
Russo 2008
  • RussoG, Tran DQH, Munoz L, Finlayson R. Comparison between ultrasound-guided supraclavicular, infraclavicular and axillary blocks. Canadian Anesthesiologists' Society Annual Meeting. 2008:475736.
Salazar 1999
  • Salazar CH, Espinosa W. Infraclavicular brachial plexus block: variation in approach and results in 360 cases. Regional Anesthesia and Pain Medicine 1999;24:411-6. [MEDLINE: 10499751]
Sandhu 2006
  • Sandhu NS, Manne JS, Medabalmi PK, Capan LM. Sonographically guided infraclavicular brachial plexus block in adults: a retrospective analysis of 1146 cases. Journal of Ultrasound in Medicine 2006;25:1555-61. [PUBMED: 17121950]
Sia 2001
  • Sia S, Bartoli M. Selective ulnar nerve localization is not essential for axillary brachial plexus block using a multiple nerve stimulation technique. Regional Anesthesia and Pain Medicine 2001;26:12-6. [PUBMED: 6631752]
Tran 2007
  • Tran DQH, Clemente A, Doan J, Finlayson RJ. Brachial plexus blocks: a review of approaches and techniques. Canadian Journal of Anesthesia 2007;54(8):662-74.
Vester-Andersen 1984
  • Vester-Andersen T, Eriksen C, Christiansen C. Perivascular axillary block III. Blockade following 40 ml of 1% or 1.5% mepivacaine with adrenaline. Acta Anaesthesiologica Scandinavica 1984;28:95-8. [PUBMED: 6711269 ]
Whiffler 1981
  • Whiffler K. Coracoid block - a safe and easy technique. British Journal of Anaesthesia 1981;53:845-8. [MEDLINE: 7272148]
Wilson 1998
  • Wilson JL, Brown DL, Wong YW, Ehman RL, Cahill DR. Infraclavicular brachial plexus block: parasagittal anatomy important to the coracoid technique. Anesthesia and Analgesia 1998;87:870-3. [MEDLINE: 9768785]

References to other published versions of this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. References to ongoing studies
  5. Additional references
  6. References to other published versions of this review
Chin 2010