Surgery of the axilla with combined brachial plexus and intercostobrachial nerve block in the subpectoral intercostal plane R Seidel, A.T. Gray, A Wree,

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Surgery of the axilla with combined brachial plexus and intercostobrachial nerve block in the subpectoral intercostal plane R Seidel, A.T. Gray, A Wree, M Schulze British Journal of Anaesthesia Volume 118, Issue 3, Pages 472-474 (March 2017) DOI: 10.1093/bja/aex009 Copyright © 2017 The Author(s) Terms and Conditions

Fig 1 Subpectoral intercostal plane block in the second intercostal space. Top panel, sonographic representation (right side, in-plane approach). 1, pectoralis major muscle; 2, pectoralis minor muscle; 3, intercostal muscle; 4, third rib; 5, pleural line; 6, needle; 7, serratus anterior muscle vs axillary tissue. Bottom panel, schematic representation (right side). r1–r4, rib 1–4; 2nd/3rd ics, second/third intercostal space; black cross, injection site; dashed line, thoracodorsal nerve; icbn, intercostobrachial nerve (continuous lines represent two separate contributions from T2 and T3); ldm, latissimus dorsi muscle; ltn, long thoracic nerve (dotted line); PMiM, pectoralis minor muscle; vertical thin line, medioclavicular line; sm, serratus anterior muscle. British Journal of Anaesthesia 2017 118, 472-474DOI: (10.1093/bja/aex009) Copyright © 2017 The Author(s) Terms and Conditions