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Ultrasound-Guided Axillary Brachial Plexus Block

Upper Extremity

Figure 1: Transducer position and needle insertion in ultrasound-guided axillary brachial plexus block. Essentials   Indications: forearm and hand surgery   Transducer position: short axis to arm, just distal to pectoralis major insertion   Goal: local anesthetic spread around axillary artery   Local anesthetic:…

Cervical Plexus


   Cervical Plexus Ultrasound transducer position to image the ansa cervicalis and phrenic nerve transverse view Ultrasound image of the ansa cervicalis and phrenic nerve transverse view Ultrasound image of the labeled ansa cervicalis and phrenic nerve transverse view Key:…

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…

Indications for Peripheral Nerve Blocks

Foundations of Regional Anesthesia

AUTHOR: Jeff Gadsden Introduction During the past 20 years, increasing knowledge in functional regional anesthesia anatomy, coupled with new technologies for locating peripheral nerves, has resulted in expansion of regional anesthesia techniques. This phenomenon served to provide the clinician with…

Supraclavicular Brachial Plexus Block

Upper Extermity

Figure 1: Insertion of the needle in the supraclavicular brachial plexus block. The needle is inserted lateral to the insertion of the clavicular head of the sternocleidomastoid muscle. Essentials Indications: upper extremity surgery (arm, elbow, forearm, wrist, hand) Landmarks: the…

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