Konica Minolta



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…

Caudal Anesthesia – continued

Landmark Based

Caudal Block For Labor Analgesia The sacral canal shares in the general engorgement of extradural veins that occurs in late pregnancy, or in any clinical condition in which the inferior vena cava (IVC) is partially obstructed. Since the effective volume…

Lumbar Plexus Block

Ultrasound Guided

Figure 1: To accomplish the lumbar plexus block, a needle is inserted perpendicular to the skin plane, 4 cm lateral to the midline at the level of L3-L5. Essentials Indications: surgery on the hip, anterior thigh, and knee Landmarks: iliac…

Thoracic Paravertebral Block

Landmark Based, Ultrasound Guided

Authors: Catherine Vandepitte, Tatjana Stopar Pintaric, and Philippe E. Gautier Thoracic paravertebral block (PVB) is a well-established technique for perioperative analgesia in patients having thoracic, chest wall, or breast surgery or for pain management with rib fractures. Ultrasound guidance can…

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…