PT  - JOURNAL ARTICLE
AU  - Ahmed K. Thallaj
AU  - Mohammad K. Al Harbi
AU  - Tariq A. Alzahrani
AU  - Salah N. El-Tallawy
AU  - Abdulaziz A. Alsaif
AU  - Mohannad Alnajjar
TI  - Ultrasound imaging accurately identifies the intercostobrachial nerve
AID  - 10.15537/smj.2015.10.11758
DP  - 2015 Oct 01
TA  - Saudi Medical Journal
PG  - 1241--1244
VI  - 36
IP  - 10
4099  - http://smj.org.sa/content/36/10/1241.short
4100  - http://smj.org.sa/content/36/10/1241.full
SO  - Saudi Med J2015 Oct 01; 36
AB  - Objectives: To test the hypothesis that identification and blockade of the intercostobrachial nerve (ICBN) can be achieved under ultrasound (US) guidance using a small volume of local anesthetic.Methods: Twenty-eight adult male volunteers were examined at King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia from November 2012 to September 2013. Intercostobrachial nerve blockade was performed using one ml of 2% lidocaine under US guidance. A sensory map of the blocked area was developed relative to the medial aspect of the humeral head.Results: The ICBN appears as a hyper-echoic structure. The nerve diameter was 2.3±0.28 mm, and the depth was 9±0.28 mm. The measurements of the sensory-blocked area relative to the medial aspect of the humeral head were as follows: 6.3±1.6 cm anteriorly; 6.2±2.9 cm posteriorly; 9.4±2.9 cm proximally; and 9.2±4.4 cm distally. Intercostobrachial nerve blockade using one ml of local anesthetic was successful in all cases.Conclusion: The present study described the sonographic anatomical details of the ICBN and its sensory distribution to successfully perform selective US-guided ICBN blockade.