There are many anatomical variations of the terminal nerves of the brachial plexus at the level of the axillary fossa. Here's one common anatomy example and decision making for a successful block. Variation in this axillary block: Axillary and subscapular artery with the MN, UN, and RN between the two arteries. Needle insertion: The first injection resulted in an adequate spread for the MN and UN; a second injection was necessary for the RN. In most cases, the McN is blocked separately. | NYSORA
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🔹 Scanning tips for the Axillary Brachial Plexus Block: With the transducer placed in a transverse orientation over the intersection of the pectoral major and biceps muscle insertion, (1) identify the axillary artery, about 1-3 cm from the skin surface; (2) pre-scan with proximal-distal movements adjusting the ultrasound image to identify the following structures of interest: - The axillary artery (AA) - The conjoint tendon - The neurovascular sheath containing the median (MN), ulnar (UN), and
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