Dr. Brandon Winchester performs bilateral ultrasound-guided infraclavicular blocks for a patient having ORIF of bilateral distal radius fractures. In addition to demonstrating the block techniques he discusses several important additional factors unique to this case including vascular access, pulmonary considerations, and minimization of local anesthesia toxicity risk. Regarding pneumothorax risk, this is not a traditional medially placed landmark-based infraclavicular technique. This ultrasound-guided technique is much more lateral thus the needle is entirely lateral to the thorax and angling parallel to or slightly laterally (away from) pleura. This ultrasound technique therefore should have zero risk of pneumothorax when performed properly.