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A technique for blocking the lateral, medial, and posterior cords of the brachial plexus at a location where they are in close proximity to each other.
Useful for surgery on the distal upper limbs.
Proximity to pleura means close attention to needle tip placement is required to minimise risk of pleural puncture.

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The needle tip is invariably close to the pleura so caution must be exercised to avoid pleural puncture.

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Ultrasound anatomy

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Time to onset of sensory block with 0.5% Ropivicaine is 15-20 mins
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