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Clendenen SR et al. - The authors described a real-time three-dimensional (3D) ultrasound-guided axillary block. Observation of the brachial plexus in cross-section demonstrated distinct linear hyperechoic tissue structures that initially inhibited the flow of the local anesthesia. After completion of the injection, we were able to visualize the influence of arterial pulsation on the spread of the local anesthesia. Possible advantages of this novel technology over current 2D methods are wider image volume and the capability to manipulate the planes of the image without moving the probe.

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