Hyperechoic Vascular Plane: A Case Study

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Once the artery is identified, scan proximal and distal, keeping the vessel in the middle of the screen looking for arterial braches. Also, press down with the probe and then relax pressure on the skin to identify corresponding veins. The block can be performed anywhere in the axilla provided the teres major muscle is identified deep to the artery. (Gonzales et al, 2012).
Slide the probe slightly lateral and identify the bright hyperechoic fascial plane between the superficial biceps muscle and the deeper coracobrachialis muscle. The musculocutaneous nerve appears as an oval or triangular structure in this fascial place with a bright hyperechoic surrounding epineurium and a dark center. If exact nerves are unable to be identified, an injection
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