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(Radiology. 2000;216:886-890.)
© RSNA, 2000


Technical Developments

Brachial Plexus Nerve Block with CT Guidance for Regional Pain Management: Initial Results1

Suresh K. Mukherji, MD, Archana Wagle, MD, Diane M. Armao, MD and Sunil Dogra, MD

1 From the Departments of Radiology (S.K.M., D.M.A.), Surgery (S.K.M.), and Anesthesiology (S.K.M., A.W., S.D.), University of North Carolina School of Medicine, 3324 Old Infirmary, CB 7510, Chapel Hill, NC 27599-7510. Received September 3, 1999; revision requested October 14; revision received December 10; accepted January 11, 2000. Address correspondence to S.K.M.

Brachial plexus nerve blocks are performed to treat patients with chronic pain referable to the brachial plexus. The needle insertion and trajectory are based on palpation of surface landmarks. Occasionally, the surface landmarks are difficult to identify owing to body habitus or anatomic alterations secondary to surgery or radiation therapy. The intent of this manuscript is to describe a technique for brachial plexus block guided with computed tomography and to report our initial results for regional pain management.

Index terms: Brachial plexus, 276.126 • Computed tomography (CT), guidance, 276.1211 • Interventional procedures, 276.126 • Nerves, root