Brachial Plexus Block (Landmark, Ultrasound-Guided, and Fluoroscopy-Guided Methods)

  • Yoshihide Terada
  • Takahisa Nishiyama


Brachial plexus block is useful in the evaluation and management of shoulder and upper-extremity pain. There are many approaches to making this block. An interscalene or axillary approach is safer and easier than a supraclavicular or infraclavicular approach under the Landmark method. Using an X-ray fluoroscopy-guided method, an image is created in which the first and second ribs cross. The interscalene approach or supraclavicular approach from the backside is recommended under an ultrasound-guided method.


Brachial plexus block Landmark method Ultrasound-guided method Fluoroscopy-guided method 


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Copyright information

© Springer Japan KK, part of Springer Nature 2019

Authors and Affiliations

  • Yoshihide Terada
    • 1
  • Takahisa Nishiyama
    • 2
  1. 1.Osato Pain ClinicSaitamaJapan
  2. 2.Department of AnesthesiologyTokyo Medical UniversityTokyoJapan

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