The medial cord is located between the axillary artery and vein around the two o’clock position of the artery
The local anaesthetic does not always spread around the artery to the two o’clock position from a seven o’clock point of injection
In that case the needle tip should be repositioned in front of the axillary artery to the interspace between the axillary artery and vein and local anaesthetic should be injected periarterially
Click on the VIDEO CLIP button to view the video
Periarterial injection of local anaesthetic between the axillary artery and vein in order to cover the medial cord of the brachial plexus MaP = major pectoral muscle; MiP = minor pectoral muscle; A = axillary artery; V = axillary vein
