Regional anesthesia

Midclavicle block: An anatomical study

Eur J AnaesthesiolPublished Observational human cadaver study

Authors' conclusion

Our anatomical study demonstrates that the midclavicular block achieves effective distribution around the middle third of the clavicle, although complete circumferential anaesthesia of the clavicular periosteum was not achieved.

Study context

Population
Fresh human cadavers
Participants
5 participants · 10 clavicular regions
Outcome
Distribution pattern of methylene blue on the clavicular periosteum (anatomical dissection by planes)
Methodological detailsultrasound-guided, anatomical dissection, Laboratory of Surgical Neuroanatomy, University of Barcelona
  • Ultrasound-guided
  • Anatomical dissection
  • Laboratory of Surgical Neuroanatomy, University of Barcelona

Main finding

As reported in the abstract

Methylene blue staining of the clavicular periosteum

Anterosuperior surface stained (mean ± SD), particularly middle third

37 ± 16%

Posteroinferior surface stained (mean ± SD), particularly middle third

23 ± 13%

Observational data: associations, not effects.

Original publication

Midclavicle block: An anatomical study. Eur J Anaesthesiol. Published 23 October 2024. doi:10.1097/eja.0000000000002079

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