How Does Clavicle Fracture Anaesthesia Locate

I think you're asking about brachial plexus block anesthesia.

It can be divided into the following three methods according to different puncture sites:

① Intermuscular sulcus method: the preferred anesthesia method for shoulder and upper arm surgery. Patients to pillow supine, head to the opposite side, the affected side shoulder pad under the thin pillow, the upper limb close to the side. Above the clavicle, the posterior edge of the sternocleidomastoid muscle touched a triangular gap formed by the anterior and middle scalenus muscles and omohyoid muscles. The pulsation of the subclavian artery could be touched at the bottom of the triangle, and the puncture point was equivalent to the level of the cricoid cartilage margin of the sixth cervical vertebra.

② Axillary method: It is suitable for the operation of the lower 1/3 of the upper arm or the surgical reduction of the fracture, with the operation of the hand, wrist and ulnar part of the forearm as the first choice. The patient lay supine and removed the pillow. The affected limb was extended to 90 degrees and the bent limb was 90 degrees. The back of the hand was attached to the bed and made military salute close to the head, and the armpit was completely exposed.

③ Supraclavicular method: the patient lies supine with a thin pillow under the shoulder of the affected side, the head turns to the opposite side, and the skin is routinely disinfected with a towel. About 1cm above the midpoint of the clavicle, local anesthetics were used to make piculus, and a 6 1/2 No.3.5cm injection needle was used to enter the needle inward, posteriorly and downward to find the first rib. The rib could be punctured with the approximately 1-3cm injection needle, and the sensation was found along the rib. The appearance of nonsensical sensation can be fan-shaped injection along the ribs.