The document discusses various nerve blocks that can be performed in the axillary region, including the costoclavicular block. It notes that the costoclavicular block uses 20 mL of 0.5% ropivacaine and has rapid onset times of 5 to 15 minutes for sensory block and 5 to 10 minutes for motor block. It also discusses that the effective dose for a costoclavicular block is 18.9 mL for ED95 and 20.92 mL for MEV90. The document further discusses the anatomical variations that can be seen with nerves like the median nerve in the axillary region.

1. Below Clavicle
Costoclavicular block, Axillary block
Boohwi Hong
(koho0127@gmail.com)
KSRA instructor WS 2024. 1. 27

2. 2
Infraclavicular block
Classic,
Lateral infraclavicular,
Paracoracoid,
Sagittal,
Distal
Proximal,
Costoclavicular

3. 3
Costoclavicular block
20 mL of 0.5% ropivacaine
Rapid sensory and motor onset time
(5 [5–15] and 5 [5–10] minutes)

4. 4
Costoclavicular block

5. 5
CCB, Low HDP risk

6. 6
CCB, Volume
ED95 18.9 mL
MEV90 20.92 mL
MEV90 34.0 mL

7. 7
Two compartment double injection?

8. 8
Two compartment double injection?

9. 9
Double injection
35 mL

13. Vein

14. 14
CCB for Shoulder surgery

15. 15
CCB for Shoulder surgery

16. 16
Subclavius muscle = Landmark of CCB

17. 17
Axillary BPB

18. 18
Topographic variation at Axillary area
BJA 103 (4): 606–12 (2009)

19. 19
Median nerve
20s
Media n. From
lateral cord
Media n. From
medial cord

20. 20
Median nerve
Media n. From
lateral cord
Media n. From
medial cord

21. 21
MABCN

22. 22
MBCN & ICBN RAPM 2019;44:929–933
RAPM 2018;43:832-837

23. 23
MBCN & ICBN
Clinical Anatomy 19:106–111 (2006)
Asian Journal of Medical Sciences, 9(5), 77–80.

24. 24
Elbow surgery
Posterior cutaneous nerve of the arm
The small posterior cutaneous nerve of the arm arises in
the axilla and passes medially to supply the skin on the
dorsal surface of the arm nearly as far as the olecranon.
It crosses posterior to, and communicates with, the
intercostobrachial nerve.
From Gray anatomy

25. 감사합니다
Boohwi Hong
koho0127@gmail.com