Key Points • A high-frequency linear transducer is preferred for this block. • The fascia iliaca compartmental block (FICB) can be used as an alternative anterior approach to the lumbar…

Perspective The sciatic nerve is one of the largest nerve trunks in the body, yet few surgical procedures can be performed with sciatic block alone. It is combined most often…

Key points • Intravenous (IV) regional anesthesia is usually achieved using dilute lidocaine 0.5%; 50 mL of prilocaine has also been used successfully. • The IV regional block is useful…

Key points • Unlike the upper extremity, there are two nerve plexuses innervating the lower extremity; the lumbar plexus innervates the ventral aspect, whereas the lumbosacral plexus primarily innervates the…

Key points • Blockade of peripheral nerves of the upper extremity is often accomplished by brachial plexus approaches. However, conditions such as infections to brachial plexus sites, coagulopathy, single nerve…

Perspective Axillary brachial plexus block is most effective for surgical procedures distal to the elbow. Some patients can undergo procedures on the elbow or lower humerus with an axillary technique,…

Perspective Infraclavicular brachial plexus block is useful for both single-injection and continuous infusion techniques. This technique results in a sensory and motor block similar to a traditional axillary approach, albeit…

Perspective Supraclavicular block provides anesthesia of the entire upper extremity in the most consistent, efficient manner of any brachial plexus technique. It is the most effective block for all portions…

Key Points • High-frequency, 38-mm broadband linear array transducer is preferred for this block. • For catheter insertion, the Tuohy needle is usually used. The catheter is placed beneath the…

Perspective Interscalene block (classic anterior approach) is especially effective for surgery of the shoulder or upper arm because the roots of the brachial plexus are most easily blocked with this…