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March 12, 2024

Tips for a Paravertebral Block: Transverse Oblique Technique

A paravertebral block is recommended for pain management following breast surgery, thoracotomy, rib fractures, and procedures involving the thoracic and upper abdominal regions. This technique involves injecting local anesthetic alongside the thoraci...
March 7, 2024

Unexpected diagnosis of endocarditis

A 68-year-old woman presented at the emergency department with acute respiratory failure and fever. Lung ultrasound showed a B-profile in all four BLUE points, suggesting pulmonary edema. This prompted us to do a cardiac ultrasound.  Consecutively, ...
March 5, 2024

Case study: Achilles tendon repair

Case presentation A 44-year-old male patient presented with a history of a sports-related Achilles tendon tear. This injury resulted in significant pain, limited mobility, and interference with his daily activities. The decision was made to proceed w...
February 29, 2024

Case study: Subacromial impingement syndrome – Injection

A 45-year-old female patient came in reporting chronic left shoulder pain lasting for three months after a minor injury. The pain primarily centered around the upper arm and the supraspinous fossa, worsening notably at night. Additionally, incidental...
February 27, 2024

Tips for an Obturator Nerve Block: Distal Approach

The obturator nerve originates from the ventral rami of the L2 to L4 lumbar nerves. An obturator nerve block serves various purposes: providing supplemental analgesia for hip and knee surgeries, preventing thigh adduction response during transurethra...
February 22, 2024

Case study: Cervical hernia with radicular pain

A 41-year-old woman presented with cervical pain radiating to the left upper limb. Her medical history reveals no prior comorbidities, but she engages in frequent and vigorous exercise, notably CrossFit. The pain she experiences is persistent, exacer...
February 20, 2024

Case study: Ultrasound-guided intercostal nerve block for post-herpetic neuralgia

Case presentation A 48-year-old male patient presented with severe pain localized to the left thoracic region, consistent with post-herpetic neuralgia following a recent episode of shingles involving the left T6 dermatome. The patient had no other si...
February 15, 2024

Tips for subclavian vein cannulation

Subclavian vein cannulation is an essential medical procedure used to access central veins for various clinical purposes. The incorporation of point-of-care ultrasound (POCUS) has significantly enhanced the precision and safety of this technique. POC...
February 13, 2024

Tips for a Lateral Femoral Cutaneous Nerve Block

The lateral femoral cutaneous nerve (LFCN) block is indicated for analgesia for surgery on the anterolateral thigh (e.g., skin grafting), muscle biopsy, and meralgia paresthetica. The complex branching of the LFCN makes accurate landmark-based blocks...
1. Third Occipital Nerve and Cervical Medial Branch Nerve Block
2. Cervical Zygapophyseal (Facet) Intra-Articular Injection
3. Cervical Nerve Root Block
4. Thoracic Paravertebral Block
5. Lumbar Facet Nerve Block and Intra-articular injection
6. Lumbar Nerve Root (Periradicular) Injections
7. Central Neuraxial Blocks
8. Caudal Epidural Injections
9. Sacroiliac Joint Injection
10. Transversus Abdominis Plane (TAP) Block
11. Celiac Plexus Block and Neurolysis
12. Ilioinguinal, Iliohypogastric, and Genitofemoral Nerve block
13. Piriformis Muscle Injection
14. Pudendal Nerve block
15. Ganglion Impar Injection
16. Superficial Trigeminal Nerve Blocks
17. Greater Occipital Nerve Block
18. Cervical Sympathetic Block
19. Lateral Femoral Cutaneous Nerve Block
20. Suprascapular Nerve Block
21. Intercostal Nerve Block
22. Subacromial/Subdeltoid Bursa Injections
23. Biceps Tendon Sheath (Biceps – Long Head) Injections
24. Acromioclavicular Joint Injections
25. Glenohumeral Joint Injections
26. Subscapularis Tendon/Subscapularis Bursa Injections
27. Sternoclavicular Joint Injections
28. Carpal Tunnel Injections
29. Trigger Finger Injections
30. Wrist Injections
31. Injections for Tendon Dysfunction
32. Elbow Injections
33. Intra-articular Hip Injections
34. Knee Injections
36. Atlanto-Axial and Atlanto-Occipital Joint Injections
37. Peripheral Nerve Stimulation
38. Occipital Stimulation
39. Groin Stimulation
40. Cervical Diskography and Intradiskal Procedures