Image guided brachial plexus block as a rescue technique

Objective: To introduce a rescue technique for supraclavicular Brachial Plexus Block (BPB), when the anesthesiologist does not have access to ultrasound machine (U.S.G), peripheral nerve stimulator (PNS) or patient is not eliciting paresthesia. Method: Study design Prospective randomised study, a total of 76 patients were included in the study. BPB was administered using fluoroscopic guidance in patients posted for upper limb surgeries. Results: During surgery in 95%, after 30 min of surgery in 87.30% cases and after one hour of surgery in 63.49% cases visual analog scale (VAS) was zero. Conclusion: Fluoroscopic guided technique can be a very good alternative for those who do not have access to U.S.G or PNS and is easily accessible as image intensifier is mostly available in Operating Rooms.