Nerve Block Gallery - Supraclavicular Nerve Block for Elbow Dislocation
Caption
50s F presented to the ED from ortho clinic for recurrent elbow dislocation. She had previously been reduced 7 days prior and found to be re-dislocated in clinic. The patient required procedural sedation for her initial reduction. On this encounter a supraclavicular nerve block was performed using 20 cc of 0.25% bupivacaine with 15 cc injected deep to brachial plexus and 5 cc injected superficial. The block is shown here, with the brachial plexus (*) seen lateral to the subclavian artery (A). She tolerated the block well and had improvement in pain, but did ultimately require procedural sedation to facilitate reduction due to anxiety about moving the arm. Dr. Fred Milgrim, PGY3 Mount Sinai Emergency Medicine Residency