Summary
Subclavian perivascular approach has been attempted for brachial plexus block for upper extremity surgery in 160 consecutive cases. In eight patients the approach could not be used since paraesthesia could not be elicited. Twelve patients needed peripheral nerve block supplementation. Four patients needed general anaesthesia with an overall success rate of 85 per cent. There were no complications attributable to the technique. This is our anaesthetic technique of choice for upper extremity surgeries.