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Transverse oblique sonograms illustrating single-injection costoclavicular brachial plexus block (A) in-plane needle insertion from a lateral to medial direction (lateral approach), (B) the needle tip advanced through the gap between the lateral and posterior cords of the brachial plexus, (C) a test bolus (1–2 ml) of normal saline or 5% dextrose to confirm correct needle tip position before the LA is injected, (D) sonogram acquired after completion of the LA injection (20 ml in this case) AA, axillary artery