case_images: PMC8121234_01
case_images: Supraclavicular nerve block showing distorted anatomy. LN: Lymph node, SA: Subclavian artery
case_images: IJPC-27-180-g001.jpg
case_images: PMC8121234_01_IJPC-27-180-g001.jpg
case_images: F1
case_images: Bothell,_WA, USA), the supraclavicular block was performed using out-of-plane approach as the needle was unable to pass through the nodes due to induration along with distorted anatomy [Figure 1]. Block was performed with 22 G echogenic needle (50 mm Sonoplex- Pajunk ) and 10 ml of 0.25% bupivacaine was given.
case_images: Stellate ganglion block showing needle passing through the lymph node. CA: Carotid artery
case_images: IJPC-27-180-g002.jpg
case_images: PMC8121234_01_IJPC-27-180-g002.jpg
case_images: F2
case_images: Thereafter, informed consent was obtained from the patient, and stellate ganglion neurolysis was performed with 4 ml of 100% ethanol and 1 ml of 0.5% bupivacaine resulting in complete pain relief [Figure 2].