Clarius Classroom

Axillary Brachial Plexus Block

Dr. David Rosenblum, MD

The axillary block is a peripheral nerve block used to anesthetize the terminal branches of the Brachial Plexus – the median, ulnar, radial and musculocutaneous nerves. Watch how Dr. Rosenblum performs the block with ultrasound guidance to alleviate his patient’s left arm pain.

Specialties: Anesthesiology, Emergency Medicine, MSK, Pain Management, Regional Anesthesia
Applications: MSK, Nerve
the patient suffers from cervical radiculopathy manifested as pain from the axle down to the fingers the original radicular symptoms were alleviated with the previous shot in which we did a selective nerve block say she's presenting with pain in the axilla and the ulnar distribution because her radiculopathy is from c8 so now we're doing axillary nerve block to get pain that emanates from the axilla down the hand here's the axillary artery with the nerve surrounding it radial nerve is deep and the ulnar nerve is posterior to the artery it gives me a little pinch right all right okay injecting by the ulnar nerve anything going on your head no it's going down my arm in the spine of your pain good so we're surrounding the ulnar nerve with local anesthetic lateral to the axillary artery i'm trying a distal approach we're trying to avoid cervical epithelial steroid injections due to the proximity to the spinal cord so using ultrasound i'm trying a less invasive means of treating her pain you

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