New Page 3

authors techniques

training guests publications what's new links forum nysora.com disclaimer New York School of Regional Anesthesia

    INTERSTERNOCLEIDOMASTIOD APPROACH TO THE BRACHIAL PLEXUS
    By Kayser Enneking, MD
     University of Florida Featured Case

     •InterSCM for intraop anesthesia set up with 5 minutes with 30 cc 1.5% mepi-
      vacaine.
     •Postoperative infusion of 0.2% ropivacaine @ 4cc/hr with 2cc bolus available.
     •No desaturations or respiratory distress.
     •No narcotic analgesics required postop. After the injection of initial bolus dose of mepivacaine, a catheter for conti-nuous infusion of local anesthetics is inserted into the brachial plexus sheath and the needle withdrawn. The catheter is shown after removal of the needle. The catheter is secured to the surface of the neck using steri-strips and an occlusive dressing.

Guest Contributors