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Transducer position: Transverse on the neck, superior to the clavicle at the midpoint ( Figure 1 ) Goal: Local anesthetic spread around the brachial plexus, posterior and superficial to the subclavian artery Local anesthetic: 2025 mL GENERAL CONSIDERATIONS At this location, the proximity of the brachial plexus to the chest cavity and pleura had been of concern ( Figure 2 ) until ultrasound (US) guidance renewed interest in the supraclavicular approach to the brachial plexus nerve block

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Arnt J, Scheel-Krger J (1979) GABA in the ventral tegmental area: differential regional effects on locomotion, aggression and food intake after microinjection of GABA agonists and antagonists