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British Journal of Anaesthesia, 2003, Vol. 91, No. 6 916-917
© 2003 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

Anatomical variations of the phrenic nerve and its clinical implication for supraclavicular block

P. E. Bigeleisen

Department of Anesthesiology, Box 604, University of Rochester School of Medicine and Dentistry,Strong Memorial Hospital, 601 Elmwood Avenue, Rochester, NY 14642, USA E-mail: Paul_Bigeleisen@urmc.rochester.edu

This paper reports a case of simultaneous diaphragmatic and brachial plexus stimulation followed by a successful nerve block using the supraclavicular approach. An explanation for the qualitative differences in phrenic nerve block between interscalene and supraclavicular block is postulated, based on known anatomical variations.

Br J Anaesth 2003; 91: 916--17


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