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supraclavicular brachial plexus block is an immensely useful technique it is something that people have also called the spinal anesthesia of the upper extremity thatamp;#39;s how complete it is as an aesthetic for the upper extremity however it needs to be treated with a lot of respect because of so many vascular and neural elements in here letamp;#39;s look at this anatomy if you look at this anatomy over here unless you are very skilled in ultrasound imaging this is quite intimidating itamp;#39;s difficult to recognize what is what in this particular image now people who are skilled it would easily they would easily recognize that thatamp;#39;s a subclavian artery right here that this is the upper trunk of the brachial plexus that it is the middle trunk of the brachial plexus and is the inferior trunk of the brachial plexus and everything is enveloped into the sheath of the brachial plexus which is basically on the first rib and thatamp;#39;s the pleural cavity so thata