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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…

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…

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…

Axillary Brachial Plexus Block


Figure 1: The needle is inserted toward the axillary artery (line) until either motor response of the hand or arterial blood on aspiration is obtained. Essentials Indications: forearm and hand surgery Landmarks: axillary artery pulse Any of the following three…

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