Konica Minolta

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Techniques

Ultrasound-Guided Fascia Iliaca Block

Lower Extremity

Figure 1: Needle insertion for the fascia iliaca block. The black dot indicates the position of the femoral artery. Essentials  Indications: anterior thigh and knee surgery, analgesia following hip and knee procedures  Transducer position: transverse, close to the femoral crease…

Ultrasound Guided Femoral Nerve Block

Lower Extremity

Figure 1: Transducer position and needle insertion using an in-plane technique to block the femoral nerve at the femoral crease. Essentials  Indications: anterior thigh, femur, and knee surgery  Transducer position: transverse, close to the femoral crease  Goal: local anesthetic spread…

Thoraco Lumbar Paravertebral Block

Landmark Based

Overview  Indications: Inguinal hernia surgery, lateral abdominal wall surgery  Landmarks:                      Spinal processes T9-L5 (the number and location of levels chosen for each indication)                      Transverse process  Needle insertion: 2 cm lateral to midline  Target goal: Needle insertion 1 cm past the…

Caudal Anesthesia

Landmark Based

Caudal anesthesia was first described at the turn of last century by two French physicians, Fernand Cathelin and Jean-Anthanase Sicard. The technique predated the lumbar approach to epidural block by several years. By Kenneth D. Candido, MD and Alon Winnie,…

Obturator Nerve Block

Lower Extermity

Obturator nerve block is used to treat hip joint pain and in the relief of adductor muscle spasm associated with hemi-or paraplegia. Muscle spasticity is relatively common problem among patients suffering from central neurological problems such as cerebrovascular pathology, medullar injuries, multiple sclerosis, infantile cerebral palsy, etc.

Ilioinguinal and Iliohypogastric Blocks

Truncal and Cutaneous Blocks

Introduction “Almost all cases of hernia, with the possible exception of those in young children, could undoubtedly be subjected to the radical operation under local anesthesia.” This quote by Harvey Cushing reported in the Annals of Surgery in 1900 illustrates…

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…

Ultrasound-Guided Axillary Brachial Plexus Block

Upper Extremity

Figure 1: Transducer position and needle insertion in ultrasound-guided axillary brachial plexus block. Essentials   Indications: forearm and hand surgery   Transducer position: short axis to arm, just distal to pectoralis major insertion   Goal: local anesthetic spread around axillary artery   Local anesthetic:…

Ultrasound-Guided Infraclavicular Brachial Plexus Block

Upper Extremity

Figure 1: In-plane needle insertion technique during infraclavicular brachial plexus block. Essentials   Indications: arm, elbow, forearm, and hand surgery   Transducer position: approximately parasagittal, just medial to coracoid process, inferior to clavicle   Goal: local anesthetic spread around axillary artery   Local anesthetic:…

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