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Wrist Block

General, Upper Extermity

A B Figure 1: (A) Technique to accomplish a wrist block. (B) Median nerve block. Needle is inserted medial or lateral to the flexor palmaris longus tendon and carefully advanced to avoid paresthesia. Then 5 mL of local anesthetic is…

Peripheral Nerve Blocks For The Lower Extremity

General

JNYSORA VOLUME 10 March 2009 The introduction of long acting local anesthetics with better safety profile, as well as better equipment for continuous techniques have further expanded the utility of peripheral nerve blocks. These developments, coupled with an increased emphasis…

Ultrasound-Guided Supraclavicular Brachial Plexus Block

Upper Extremity

Figure 1: Supraclavicular brachial plexus; transducer position and needle insertion. Essentials   Indications: arm, elbow, forearm, and hand surgery   Transducer position: transverse on neck, just superior to the clavicle at midpoint   Goal: local anesthetic spread around brachial plexus, lateral and superficial…

Optimizing an Ultrasound Image

General

Optimizing an Ultrasound Image Based on Hadzic’s Textbook of RAPM 2nd Ed 2017Daquan Xu, Shaun De Meirsman, and Ruben Schreurs INTRODUCTION Optimizing an ultrasound image is an essential skill during ultrasound-guided nerve blockade. Anatomically, a peripheral nerve is always located…

Infraclavicular Brachial Plexus Block

Upper Extermity

Figure 1: Patient position and needle insertion for infraclavicular brachial plexus block. Essentials Indications: elbow, forearm, hand surgery Landmarks: medial clavicular head, coracoid process Nerve stimulation: hand twitch at 0.2-0.5 mA Local anesthetic: 25-35 mL General Considerations The infraclavicular block…

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