Konica Minolta

Category

Techniques

Spinal and Epidural Block

Ultrasound Guided

Authors: Wing Hong Kwok and Manoj Karmakar Introduction Ultrasound scanning (US) can offer several advantages when used to guide placement of the needle for centroneuraxial blocks (CNBs). It is noninvasive, safe, simple to use, can be performed expeditiously, provides real-time…

Ankle Block

Lower Extermity

Figure 1: Needle insertion for saphenous nerve block of the ankle. Essentials Indications: surgery of the foot and toes Two deep nerves: posterior tibial, deep peroneal Three superficial nerves: superficial peroneal, sural, saphenous Local anesthetic: 5-6 mL per nerve General…

Femoral Nerve Block

Lower Extermity

Figure 1: Needle insertion for femoral nerve block. Essentials Indications: surgery of the anterior thigh and knee surgery Landmarks: femoral (inguinal) crease, femoral artery pulse Nerve stimulation: twitch of the patella (quadriceps) at 0.2-0.5 mA Local anesthetic: 15-20 mL Figure…

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…

Sciatic Nerve Block: Transgluteal / Anterior Approach

Lower Extermity

A B Figure 1-1: (A) Needle insertion for the transgluteal (posterior) approach to sciatic nerve block. (B) Needle insertion for anterior sciatic block. Essentials Transgluteal (Posterior) Approach Indications: surgery on the knee, tibia, ankle, and foot Landmarks: greater trochanter, superior…

Truncal and Cutaneous Blocks

Ultrasound Guided Techniques

A C B D Figure 1: (A) Transducer position and needle insertion to accomplish a transverse abdominal plane block. (B) Transducer position and needle insertion to accomplish iliohypogastric and ilioinguinal nerve blocks. (C) Transducer position and needle insertion to accomplish…

Ultrasound-Guided Supraclavicular Brachial Plexus Block

Upper Extremity

Figure 1: Supraclavicular brachial plexus; transducer position and needle insertion. Essentials   Indications: arm, elbow, forearm, and hand surgery   Transducer position: transverse on neck, just superior to the clavicle at midpoint   Goal: local anesthetic spread around brachial plexus, lateral and superficial…

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