Different approaches to shoulder blocks

There are different approaches to performing shoulder blocks, such as interscalene, supraclavicular, and superclavicular nerve blocks. Each approach targets specific nerves to provide analgesia for shoulder surgeries. The interscalene block, which involves injecting local anesthetic between the C5 and C6 nerve roots, is the most common and often used as a first choice. However, there are alternative approaches, such as targeting individual nerves like the suprascapular, axillary, and supraclavicular nerves. These alternative approaches can be used alone or in combination, depending on the surgical procedure and pain trajectory.