Tips for a Rectus Sheath Block
February 21, 2023
The rectus sheath block is used for postoperative analgesia for midline abdominal incisions. A bilateral block results in analgesia of the anteromedial abdominal wall and periumbilical area (spinal dermatomes 9, 10, and 11).
Here are 4 steps to successfully perform a rectus sheath block
- Place the transducer in a transverse orientation above the umbilicus, 1 cm lateral to the midline.
- Identify the rectus abdominis muscle and posterior rectus sheath.
- Insert the needle in-plane through the rectus abdominis muscle until the tip reaches the space between the muscle and posterior rectus sheath, and inject 10-15 mL of local anesthetic.
- Repeat on the contralateral side.
This block should be performed bilaterally!
Watch the video below to get a better picture of the process and see how the NYSORA Nerve Blocks App brings these instructions to life:
For more tips like these and the complete guide to the 60 most frequently used nerve blocks, download the Nerve Blocks App HERE.