Supraclavicular Versus Interscalene Block for Shoulder Surgery

Under ultrasound guidance an insulated needle is advanced with in- plane technique into the brachial plexus sheath and 20ml 0.25% bupivacaine will be administered

Under ultrasound guidance an insulated needle will be placed through the middle scalene muscle,into the interscalene groove with in-plane technique and 20ml 0.25%bupivacaine will be administered into the brachial plexus

20ml 0.25% bupivacaine will be injected for brachial plexus block

The Ultrasound will be used for brachial plexus visualization