PMC2900048_01
Patient in halo device on the transportation trolley (Note position of the back rest)
SJA-4-20-g0001.jpg
PMC2900048_01_SJA-4-20-g0001.jpg
F0001
There are case reports on management of the patient in the halo frame for various surgeries under general anesthesia with either endotracheal intubation or other airway devices in emergency management. [-]The halo traction device poses a number of problems to the anesthesiologist mainly accessibility to the airway and in positioning the patient supine or lateral for any procedure [Figure 1].
The supraclavicular block at the angle between the first rib and the subclavian artery. SA-subclavian artery, LA-local anesthetic, Big arrows - brachial plexus, small arrows - needle
SJA-4-20-g0002.jpg
PMC2900048_01_SJA-4-20-g0002.jpg
F0002
Ultrasound-guided block of the brachial plexus in the supraclavicular has higher rate of success if placed at the angle between the subclavian artery and the first rib laterally, but it has to be done with the tip of the needle under the beam of ultrasound from the introduction of the needle to the deposition of the drug [Figure 2].