Dr. Brandon Winchester demonstrates an ultrasound-guided infraclavicular catheter for post-operative pain control after an open reduction internal fixation (ORIF) of a hand fracture. The video is filmed at the Andrews Institute in Florida.
Starting at 4:05, Dr. Winchester identifies relevant anatomy using the Flex Focus ultrasound system, including:
- the pectoralis major and minor muscles
- the axillary artery and vein
- the brachial plexus with lateral, medial, and posterior cords
- the acromion process and shoulder capsule
Dr. Winchester also shows how to maneuver an aberrant vein directly in the path of the needle with a technique called hydro dissection. Hydro dissection involves injecting a small amount of local anesthetic to open up a narrow space and allow proper needle insertion.
Other anesthesia ultrasound videos from Dr. Winchester on our blog:
- Ultrasound-guided TAP block: posterior approach
- Ultrasound-guided axillary brachial plexus nerve block
- Ultrasound-guided adductor canal technique: oblique approach