Correspondence  |   June 2018
Costoclavicular Approach to the Supraclavicular Fossa: Journey behind the Dark Side of the Moon (Clavicle)
Author Notes
  • University of California, Davis, Sacramento, California. rjaldwinckle@ucdavis.edu
  • (Accepted for publication March 8, 2018.)
    (Accepted for publication March 8, 2018.)×
Article Information
Correspondence
Correspondence   |   June 2018
Costoclavicular Approach to the Supraclavicular Fossa: Journey behind the Dark Side of the Moon (Clavicle)
Anesthesiology 6 2018, Vol.128, 1259. doi:10.1097/ALN.0000000000002209
Anesthesiology 6 2018, Vol.128, 1259. doi:10.1097/ALN.0000000000002209
I read with interest the report of the use of the costoclavicular space to access the supraclavicular area for a continuous catheter technique,1  and I commend the authors for their innovative work. It highlights three main questions about supraclavicular catheters: Is there a high catheter displacement rate, is it the most efficacious catheter site, and is the approach described safe?
Displacement rates for perineural catheters range from 5%2  up to 40%.3  A literature search reveals that a small case series of supraclavicular catheters4  showed a displacement rate of 10% using the ultrasound-guided lateral to medial approach, which is at the lower end of published rates.