{"id":149707,"date":"2023-01-25T15:55:35","date_gmt":"2023-01-25T23:55:35","guid":{"rendered":"https:\/\/clarius.com\/blog\/aprende-a-realizar-bloqueos-del-plexo-braquial-guiados-por-ecografia\/"},"modified":"2026-03-13T14:55:48","modified_gmt":"2026-03-13T21:55:48","slug":"aprende-a-realizar-bloqueos-del-plexo-braquial-guiados-por-ecografia","status":"publish","type":"post","link":"https:\/\/clarius.com\/es\/blog\/aprende-a-realizar-bloqueos-del-plexo-braquial-guiados-por-ecografia\/","title":{"rendered":"Aprende a realizar bloqueos del plexo braquial guiados por ecograf\u00eda"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Cada vez hay m\u00e1s pruebas en la literatura que afirman que la gu\u00eda ecogr\u00e1fica se est\u00e1 convirtiendo en la norma asistencial para la anestesia regional, y contribuye a unos resultados mejores y m\u00e1s seguros para los pacientes. El Dr. Greg Hickman, anestesista regional del Centro de Cirug\u00eda Ambulatoria del Instituto Andrews de Florida, tiene veinte a\u00f1os de experiencia de primera mano en el uso de ultrasonidos para obtener mejores resultados en los pacientes. Nos acompa\u00f1\u00f3 en otro seminario web instructivo, <a href=\"https:\/\/clarius.com\/es\/webinar\/bloqueos-del-plexo-braquial-guiados-por-ecografia-tecnicas-del-experto\/\">\u00abBloqueos del plexo braquial guiados por ecograf\u00eda: T\u00e9cnicas del experto\u00bb<\/a>. Te invitamos a que veas el <a href=\"https:\/\/clarius.com\/es\/webinar\/bloqueos-del-plexo-braquial-guiados-por-ecografia-tecnicas-del-experto\/\">seminario web completo<\/a> para mejorar tus habilidades con los ultrasonidos manuales y perfeccionar los bloqueos guiados para la cirug\u00eda de las extremidades superiores, o sigue leyendo para ver lo m\u00e1s destacado de la presentaci\u00f3n del Dr. Hickman.   <\/p>\n\n<p class=\"wp-block-paragraph\">Al principio del seminario web, realizamos una encuesta preguntando a los espectadores su opini\u00f3n sobre la realizaci\u00f3n de bloqueos a ciegas, y es evidente que las inyecciones inexactas e imprecisas, as\u00ed como las complicaciones, son las principales preocupaciones.<\/p>\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img decoding=\"async\" width=\"1024\" height=\"614\" data-src=\"https:\/\/clarius.com\/wp-content\/smush-webp\/2022\/06\/Poll-1-Results-Risks-Limitations-Blind-Injections-1024x614.png.webp\" alt=\"\" class=\"wp-image-54269 lazyload\" data-srcset=\"https:\/\/clarius.com\/wp-content\/smush-webp\/2022\/06\/Poll-1-Results-Risks-Limitations-Blind-Injections-1024x614.png.webp 1024w, https:\/\/clarius.com\/wp-content\/smush-webp\/2022\/06\/Poll-1-Results-Risks-Limitations-Blind-Injections-300x180.png.webp 300w, https:\/\/clarius.com\/wp-content\/smush-webp\/2022\/06\/Poll-1-Results-Risks-Limitations-Blind-Injections-600x360.png.webp 600w, https:\/\/clarius.com\/wp-content\/smush-webp\/2022\/06\/Poll-1-Results-Risks-Limitations-Blind-Injections.png.webp 1981w\" data-sizes=\"(max-width: 1024px) 100vw, 1024px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 1024px; --smush-placeholder-aspect-ratio: 1024\/614;\" \/><\/figure>\n<\/div>\n<p class=\"wp-block-paragraph\">El Dr. Hickman analiza y demuestra 3 bloqueos de las extremidades superiores para cirug\u00edas por debajo del hombro, utilizando doble gu\u00eda con ultrasonidos y un estimulador nervioso.<\/p>\n\n<h2 class=\"wp-block-heading\"><strong>El bloqueo supraclavicular del plexo braquial<\/strong><\/h2>\n\n<p class=\"wp-block-paragraph\">El Dr. Hickman llama a este bloqueo \u00abEspinal del Brazo\u00bb. Es su bloqueo \u00abde cabecera\u00bb en el Instituto Andrews, ya que proporciona una analgesia r\u00e1pida y muy eficaz para todas las cirug\u00edas de las extremidades superiores. Este bloqueo se produce a nivel de las divisiones de los troncos  <\/p>\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img decoding=\"async\" width=\"1024\" height=\"576\" data-src=\"https:\/\/clarius.com\/wp-content\/smush-webp\/2022\/06\/Slide14-1024x576.jpg.webp\" alt=\"\" class=\"wp-image-54277 lazyload\" data-srcset=\"https:\/\/clarius.com\/wp-content\/smush-webp\/2022\/06\/Slide14-1024x576.jpg.webp 1024w, https:\/\/clarius.com\/wp-content\/smush-webp\/2022\/06\/Slide14-300x169.jpg.webp 300w, https:\/\/clarius.com\/wp-content\/smush-webp\/2022\/06\/Slide14-600x338.jpg.webp 600w, https:\/\/clarius.com\/wp-content\/smush-webp\/2022\/06\/Slide14.jpg.webp 1920w\" data-sizes=\"(max-width: 1024px) 100vw, 1024px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 1024px; --smush-placeholder-aspect-ratio: 1024\/576;\" \/><\/figure>\n<\/div>\n<p class=\"wp-block-paragraph\">Los puntos de referencia anat\u00f3micos son la clav\u00edcula y el esternocleidomastoideo. En la ecograf\u00eda, los puntos de referencia son la arteria subclavia y la<sup>1\u00aa<\/sup> costilla. <\/p>\n\n<p class=\"wp-block-paragraph\">\u00abEncuentra el grupo de uvas justo posterolateral a la arteria subclavia, y \u00e9se es nuestro punto de partida\u00bb.<\/p>\n\n<p class=\"wp-block-paragraph\">Mira este v\u00eddeo <a href=\"https:\/\/clarius.com\/es\/classroom\/bloque-supraclavicular\/\">del Aula Clarius<\/a> para ver c\u00f3mo el Dr. coloca a su paciente y el ec\u00f3grafo, localiza el plexo braquial supraclavicular y realiza el bloqueo con un total de 30 cc de analgesia inyectada para rodear los troncos.<a href=\"https:\/\/clarius.com\/es\/classroom\/bloque-supraclavicular\/\"><\/a><\/p>\n\n<figure class=\"wp-block-embed aligncenter is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"Supraclavicular Brachial Plexus Block\" width=\"640\" height=\"360\" src=\"https:\/\/www.youtube.com\/embed\/kAHU7MC_hH8?feature=oembed&#038;modestbranding=1&#038;showinfo=0&#038;rel=0&#038;enablejsapi=1\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n<h2 class=\"wp-block-heading\"><strong>El bloqueo del plexo braquial infraclavicular<\/strong><\/h2>\n\n<p class=\"wp-block-paragraph\">Este bloqueo se realiza a nivel de los cordones lateral, medial y posterior, y al igual que el bloqueo supraclavicular, es predecible, tiene un inicio r\u00e1pido y es eficaz para todo el brazo y la mano. Durante el <a href=\"https:\/\/clarius.com\/es\/webinar\/bloqueos-del-plexo-braquial-guiados-por-ecografia-tecnicas-del-experto\/\" target=\"_blank\" rel=\"noreferrer noopener\">seminario web<\/a>, el Dr. Hickman explica por qu\u00e9 \u00e9ste es su bloqueo preferido cuando utiliza un cat\u00e9ter continuo. <\/p>\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img decoding=\"async\" data-src=\"https:\/\/clarius.com\/wp-content\/uploads\/2022\/06\/Slide31-1024x576.png\" alt=\"\" class=\"wp-image-54285 lazyload\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 1024px; --smush-placeholder-aspect-ratio: 1024\/576;\" \/><\/figure>\n<\/div>\n<p class=\"wp-block-paragraph\">Con el esc\u00e1ner en eje largo y colocado en el surco deltopectoral, los puntos de referencia anat\u00f3micos incluyen la cara inferior de la clav\u00edcula y medial a la ap\u00f3fisis coracoides. Localiza la arteria axilar para identificar los cordones del plexo. <\/p>\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img decoding=\"async\" width=\"1024\" height=\"576\" data-src=\"https:\/\/clarius.com\/wp-content\/smush-webp\/2022\/06\/Slide41-1024x576.jpg.webp\" alt=\"\" class=\"wp-image-54293 lazyload\" data-srcset=\"https:\/\/clarius.com\/wp-content\/smush-webp\/2022\/06\/Slide41-1024x576.jpg.webp 1024w, https:\/\/clarius.com\/wp-content\/smush-webp\/2022\/06\/Slide41-300x169.jpg.webp 300w, https:\/\/clarius.com\/wp-content\/smush-webp\/2022\/06\/Slide41-600x338.jpg.webp 600w, https:\/\/clarius.com\/wp-content\/smush-webp\/2022\/06\/Slide41.jpg.webp 1920w\" data-sizes=\"(max-width: 1024px) 100vw, 1024px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 1024px; --smush-placeholder-aspect-ratio: 1024\/576;\" \/><\/figure>\n<\/div>\n<p class=\"wp-block-paragraph\">El Dr. Hickman utiliza un abordaje retroclavicular para esta inyecci\u00f3n porque no hay que colocar al paciente en una posici\u00f3n especial, y puede visualizar su aguja en el plano, en un \u00e1ngulo \u00f3ptimo, tal como aparece desde debajo de la clav\u00edcula.<\/p>\n\n<p class=\"wp-block-paragraph\">Una ligera manipulaci\u00f3n de la aguja bajo gu\u00eda ecogr\u00e1fica asegura el dep\u00f3sito de anest\u00e9sico alrededor de cada cord\u00f3n.<\/p>\n\n<p class=\"wp-block-paragraph\">Mira el v\u00eddeo:<\/p>\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img decoding=\"async\" width=\"800\" height=\"578\" src=\"https:\/\/clarius.com\/wp-content\/uploads\/2022\/06\/Retroclav-video.gif\" alt=\"\" class=\"wp-image-54336\"\/><\/figure>\n<\/div>\n<h2 class=\"wp-block-heading\"><strong>El bloqueo del plexo braquial axilar<\/strong><\/h2>\n\n<p class=\"wp-block-paragraph\">En los casos en que un bloqueo supra o infraclavicular es t\u00e9cnicamente dif\u00edcil, el bloqueo axilar puede ser muy eficaz y m\u00e1s f\u00e1cil de realizar debido a la naturaleza superficial del plexo. Los nervios radial, cubital, mediano y musculocut\u00e1neo pueden identificarse f\u00e1cilmente con ecograf\u00eda, y la aguja es muy visible con el \u00e1ngulo de aproximaci\u00f3n que utiliza el Dr. Hickman, lo que hace que la inyecci\u00f3n sea precisa y eficaz. <\/p>\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img decoding=\"async\" width=\"1024\" height=\"576\" data-src=\"https:\/\/clarius.com\/wp-content\/smush-webp\/2022\/06\/Slide60-1024x576.jpg.webp\" alt=\"\" class=\"wp-image-54317 lazyload\" data-srcset=\"https:\/\/clarius.com\/wp-content\/smush-webp\/2022\/06\/Slide60-1024x576.jpg.webp 1024w, https:\/\/clarius.com\/wp-content\/smush-webp\/2022\/06\/Slide60-300x169.jpg.webp 300w, https:\/\/clarius.com\/wp-content\/smush-webp\/2022\/06\/Slide60-600x338.jpg.webp 600w, https:\/\/clarius.com\/wp-content\/smush-webp\/2022\/06\/Slide60.jpg.webp 1920w\" data-sizes=\"(max-width: 1024px) 100vw, 1024px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 1024px; --smush-placeholder-aspect-ratio: 1024\/576;\" \/><\/figure>\n<\/div>\n<p class=\"wp-block-paragraph\">El punto de referencia ecogr\u00e1fico clave para este bloqueo es la arteria axilar, representada en eje corto. Los nervios radial, cubital y mediano se encuentran muy pr\u00f3ximos a este vaso prominente, y el nervio musculocut\u00e1neo puede verse cerca, en el tabique intermuscular entre los m\u00fasculos b\u00edceps braquial y braquial. <\/p>\n\n<p class=\"wp-block-paragraph\">Mira este v\u00eddeo en directo para ver la parte mediana y cubital de este bloque.<\/p>\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img decoding=\"async\" width=\"800\" height=\"578\" src=\"https:\/\/clarius.com\/wp-content\/uploads\/2022\/06\/Axillary-video-1.gif\" alt=\"\" class=\"wp-image-54328\"\/><\/figure>\n<\/div>\n<p class=\"wp-block-paragraph\">El Dr. Hickman lleva 15 a\u00f1os utilizando los ultrasonidos para guiar sus bloqueos.  <\/p>\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"wp-block-paragraph\">No me di cuenta del verdadero impacto de lo mucho que iba a cambiar y de cu\u00e1ntas personas m\u00e1s se dedicar\u00edan a la anestesia regional, porque mucha gente puede sentirse m\u00e1s c\u00f3moda con esto que intentando hacer esas t\u00e9cnicas a ciegas\u00bb, dice.<\/p>\n<\/blockquote>\n\n<p class=\"wp-block-paragraph\">Para obtener instrucciones m\u00e1s detalladas y demostraciones completas del bloqueo del plexo braquial, mira el seminario web completo <a href=\"https:\/\/clarius.com\/es\/webinar\/bloqueos-del-plexo-braquial-guiados-por-ecografia-tecnicas-del-experto\/\">\u00abBloqueos del plexo braquial guiados por ecograf\u00eda: T\u00e9cnicas del Experto\u00bb<\/a>. Visita el <a href=\"http:\/\/www.clarius.com\/classroom\" target=\"_blank\" rel=\"noreferrer noopener\">Aula Clarius<\/a> para ver estos y otros procedimientos de bloqueo con anestesia regional. <\/p>\n\n<p class=\"wp-block-paragraph\">El Dr. Hickman es cofundador del popular sitio web educativo sobre anestesia regional guiada por ecograf\u00eda <a href=\"https:\/\/www.blockjocks.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Blockjocks.com<\/a>, que ense\u00f1a a m\u00e9dicos, enfermeras y pacientes de todo el mundo. Utiliza el <a href=\"https:\/\/clarius.com\/es\/scanners\/l15\/\">Clarius L15 HD3<\/a> en su consulta. <\/p>\n\n<h2 class=\"wp-block-heading\">Acerca de Clarius para Anestesia Regional<\/h2>\n\n<p class=\"wp-block-paragraph\">La miniaturizaci\u00f3n y la innovaci\u00f3n de los ec\u00f3grafos port\u00e1tiles hacen que la obtenci\u00f3n de im\u00e1genes de alta definici\u00f3n sea ahora f\u00e1cil y asequible, lo que permite ahorrar hasta un 80% del coste de un ec\u00f3grafo tradicional. Clarius ofrece tres ec\u00f3grafos port\u00e1tiles inal\u00e1mbricos adecuados para el bloqueo seguro de nervios regionales y el seguimiento postoperatorio. Para m\u00e1s informaci\u00f3n, visita nuestra p\u00e1gina de especialidades anest\u00e9sicas. O <a href=\"https:\/\/clarius.com\/es\/contact\/\">ponte en contacto con nosotros<\/a> hoy mismo para solicitar una <a href=\"https:\/\/clarius.com\/es\/contact\/\">demostraci\u00f3n virtual<\/a> privada del ec\u00f3grafo inal\u00e1mbrico definitivo.   <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Cada vez hay m\u00e1s pruebas en la literatura que afirman que la gu\u00eda ecogr\u00e1fica se est\u00e1 convirtiendo en la norma asistencial para la anestesia regional, y contribuye a unos resultados mejores y m\u00e1s seguros para los pacientes. El Dr. Greg Hickman, anestesista regional del Centro de Cirug\u00eda Ambulatoria del Instituto Andrews de Florida, tiene veinte&#8230;<\/p>\n","protected":false},"author":4,"featured_media":54352,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","inline_featured_image":false,"footnotes":""},"categories":[1015,937,992,1041,1046],"tags":[],"specialities":[57,66,51,69],"class_list":["post-149707","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-classroom","category-educacion","category-perspectivas","category-video","category-webinar","specialities-anesthesiology","specialities-msk","specialities-pain-management","specialities-regional-anesthesia"],"acf":[],"yoast_head":"<!-- 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