Titlebook: Anesthesia of the Upper Limb; A State of the Art G Fernando Alemanno,Mario Bosco,Aldo Barbati Book 2014 Springer-Verlag Italia 2014 Brachia

Washington

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Topographical Anatomy,ponds approximately to its midpoint. The upper surface, which is fairly flat laterally, becomes more rounded in the medial portion; it is covered by skin, by the platysma muscle, and by the supraclavicular nerves, which are sensory branches of the cervical plexus.

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Dynamics, Bifurcations and Controls structures to be blocked. The ultrasound guidance also allows us to follow in real time what happens under the skin layer, with a close control on the needle approaching its target, thus reducing the risk of damage to any sensitive anatomical structures, such as blood vessels or the pleura.

Affectation

The Anesthetic Line,e then located with various systems, ranging from the eliciting of paresthesias to the more recent electrical nerve stimulation and ultrasound methods, so as to be able to perform the anesthetic block with a needle located close to the target.

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Anatomy of the Brachial Plexus, from C4 which gives a branch to C5 and from T2 which gives a branch to T1. If this contribution is mainly or exclusively from C4, the plexus is defined by Winnie as ‘prefixed’, whereas when it comes largely or solely from T2, the plexus is defined as ‘postfixed.’

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Anatomy of the Cervical Plexus, plexus. The superior cervical somatic nerves, in fact, in addition to numbering among the terminal nerves as important a nerve as the phrenic nerve, have numerous anastomoses and imbrications sharing territorial competence with the brachial plexus.