16th NYSORA Symposium in NYC

Category

Upper Extermity

Interscalene Brachial Plexus Block

Upper Extermity

Figure 1: Needle insertion for interscalene brachial plexus block. The needle is inserted between palpating fingers that are positioned in the scalene groove (between anterior and middle scalene muscles). 1 = sternal head of the sternocleidomastoid muscle. 2 = clavicular…

Cervical Plexus Block

Upper Extermity

Figure 1: Needle insertion for superficial cervical plexus block. The needle is inserted behind the posterior border of the sternocleidomastoid muscle. Essentials Indications: carotid endarterectomy, superficial neck surgery Landmarks: mastoid process, sternocleidomastoid muscle, C6 transverse process Equipment, superficial: 1½-in, 25-gauge…

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…

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…

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…

Digital Nerve Block

Upper Extermity

A digital block is the technique of blocking the nerves of the digits to achieve anesthesia of the finger(s). This technique is simple to perform and essentially devoid of systemic complications. It is a commonly used and effective method of…

Close