Color Doppler ultrasound-guided supraclavicular brachial plexus block to prevent vascular injection

West J Emerg Med. 2014 Sep;15(6):703-5. doi: 10.5811/westjem.2014.5.21716.


Ultrasound-guided nerve blocks are quickly becoming integrated into emergency medicine practice for pain control and as an alternative to procedural sedation. Common, but potentially catastophic errors have not been reported outside of the anesthesiology literature. Evaluation of the brachial plexus with color Doppler should be standard for clinicians performing a supraclavicular brachial plexus block to determine ideal block location and prevention of inadvertant intravascular injection.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Brachial Plexus / blood supply
  • Brachial Plexus / diagnostic imaging
  • Brachial Plexus Block / methods*
  • Emergency Service, Hospital
  • Humans
  • Humeral Fractures
  • Male
  • Ultrasonography, Doppler, Color / methods*
  • Ultrasonography, Interventional / methods*
  • Wounds, Gunshot