Distal Upper Extremity

Nov 25, 2016 by in ANESTHESIA Comments Off on Distal Upper Extremity

   Elbow: Extend the elbow and identify the intercondylar line. Palpate the brachial artery pulse medially and the tendon of the biceps brachii muscle laterally. Elevate the shoulder 90 degrees and…

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Paravertebral Block

Nov 25, 2016 by in ANESTHESIA Comments Off on Paravertebral Block

   Mark a 2.5 cm point lateral to each spinous process. Approach and Technique    Out-of-plane needle guidance: Apply transducer perpendicular to skin in a parasagittal plane 2 cm lateral to the…

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Femoral Nerve Block

Nov 25, 2016 by in ANESTHESIA Comments Off on Femoral Nerve Block

   The important landmarks for this block include the inguinal crease and femoral artery (FA).    An anatomic study has shown the femoral nerve (FN) to be widest and most superficial at…

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Axillary Block

Nov 25, 2016 by in ANESTHESIA Comments Off on Axillary Block

   The course of the axillary artery is palpated and marked in the proximal axilla.    The expected location of the median nerve is superficial and lateral to the artery with the…

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Ankle Block

Nov 25, 2016 by in ANESTHESIA Comments Off on Ankle Block

   Important surface landmarks to identify include the most cephalad portions of the medial malleolus (MM), lateral malleolus (LM), and the Achilles tendon posteriorly. The sural nerve is located in the…

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TAP Block

Nov 25, 2016 by in ANESTHESIA Comments Off on TAP Block

   The borders of the Triangle of Petit serve as the major surface anatomic landmarks: the iliac crest inferiorly, the external oblique (EO) muscle anteriorly, and the latissimus dorsi muscle posteriorly….

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Infraclavicular Block

Nov 25, 2016 by in ANESTHESIA Comments Off on Infraclavicular Block

   After identification of this landmark, a point is marked 2 cm medial and 2 cm caudad to the most anterior tip of the coracoid process. A. View of right shoulder…

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Subgluteal Sciatic Block

Nov 25, 2016 by in ANESTHESIA Comments Off on Subgluteal Sciatic Block

   Landmarks for the ultrasound-guided subgluteal sciatic nerve block include the greater trochanter (GT) laterally and ischial tuberosity (IT) medially. Caudad to the gluteal crease, the sciatic nerve lies along the…

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Popliteal Block

Nov 25, 2016 by in ANESTHESIA Comments Off on Popliteal Block

   The popliteal crease is identified and marked while the patient flexes the knee. The medial and lateral borders of popliteal fossa are formed by semimembranosus and biceps femoris tendons. The…

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Supraclavicular Block

Nov 25, 2016 by in ANESTHESIA Comments Off on Supraclavicular Block

   Important surface landmarks include the sternocleidomastoid (SCM) and clavicle. The SCM may be identified by asking the patient to turn the head away from the affected side and flex the…

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