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1
Cervical Plexus Block
Expires After: Does not Expire

 

Anatomy of the deep cervical plexus with the main branches and anastomoses.

 

Indications: Anesthesia and analgesia for carotid endarterectomy, superficial neck, and analgesia for clavicle fractures

Goal: Local anesthetic spread around the superficial branches of the cervical plexus

Transducer: Linear

Needle: 25-22 gauge, 5 cm short bevel

Local anesthetic volume: 5-8 mL

2
Supraclavicular Brachial Plexus Block
Expires After: Does not Expire

Indications: Anesthesia and analgesia for humerus, elbow, forearm and hand

Goal: Injection of the local anesthetic around the trunks and divisions of the brachial plexus

Transducer: Linear

Needle: 22-23 G, 5 cm short bevel

Local anesthetic volume: 20 – 25 mL

3
Infraclavicular Brachial Plexus Block
Expires After: Does not Expire

 

Indications: Anesthesia and analgesia for surgeries in the arm, elbow, forearm and the hand.

Goal: Local anesthetic spread around the axillary artery

Transducer: Linear

Needle: 22 gauge, 5-10 cm short bevel

Local anesthetic volume: 20-25 mL

4
Axillary Brachial Plexus Block
Expires After: Does not Expire

Brachial plexus at the level of the axilla. Cutaneous nerve of the arm (CNA), median nerve (MN), radial nerve (RN), ulnar nerve (UN), musculocutaneous nerve (McN), axillary artery (AA), intercostobrachial nerve (IcbN).

 

Indications: Anesthesia and analgesia for elbow, forearm and hand surgeries

Goal: Local anesthetic spread around (above/bellow) axillary artery

Transducer: Linear

Needle: 22-23G, 5 cm short bevel

Local Anesthetic: 20 mL (8mL above the artery, 8mL below artery, 4mL for the musculocutaneous nerve)

5
Pectoralis and Serratus Anterior Plane Block
Expires After: Does not Expire

 

Serratus anterior muscles after removal of the pectoral major and minor muscles

Indications

  • Pecs I: Analgesia for breast surgery, clavicle, and acromioclavicular procedures.
  • Pecs II: Extensive breast surgery, thoracic wall procedures sentinel node excision.
  • Serratus plane: anterolateral thoracic wall surgery and rib fractures.

Goal: Injection of local anesthetic in the fascial planes between the pectoral muscles and the serratus anterior muscle.

Transducer: Linear

Needle: 22G, 5-10 cm short bevel

Local anesthetic volume: 10-20 mL

 

6
Transversus Abdominis Plane Block
Expires After: Does not Expire

Anatomic relationships of the muscles of the abdominal wall

 

Indications: Analgesia for the skin and muscles of the abdominal wall and the parietal peritoneum

Goal: Local anesthetic spread in the plane between the internal oblique and transversus abdominis muscles

Transducer: Linear or curved for very large patients

Needle: 22G, 8-10 cm

Local anesthetic volume: 15-30 mL

7
Saphenous nerve block at the adductor canal
Expires After: Does not Expire

 

Anatomy of the adductor canal

 

Indications: Analgesia for knee surgery, skin of the medial aspect of the leg below the knee (e.g., ankle or foot surgery). Can be combined with sciatic nerve block for surgery below the knee (e.g., foot amputation, ankle fracture).

Goal: Depending on the level of block, local anesthetic spread around the femoral nerve in the femoral triangle or saphenous nerve in the adductor canal.

Transducer: Linear or curved (larger patients)

Needle: 22 G, 5-8 cm.

Local anesthetic volume: 10 mL

8
Popliteal sciatic nerve block
Expires After: Does not Expire

 

Anatomic relationships of the sciatic nerve in the popliteal fossa. Common peroneal nerve (CPN), tibial nerve (TN), popliteal artery (PA), popliteal vein (PV), femur, biceps femoris muscle (BFM), semimembranosus muscle (SmM), and semitendinosus (StM) muscle.

 

Indications: Foot and ankle surgery, below-knee amputation and Achilles tendon surgery

Goal: Local anesthetic spread surrounding the sciatic nerve within the Vloka’s sheath

Transducer: Linear

Needle: 22-23G, 5 cm short bevel

Local anesthetic volume: 10-20 mL

 

9
Ankle block
Expires After: Does not Expire

 

 

Indications: Distal foot and toe surgery

Goal: Local anesthetic spread surrounding each individual nerve

Transducer: Linear

Needle: 25-gauge, 1 1/4″ needle

Local anesthetic volume: 5-8mL for tibial nerve, 3-5 mL per other nerves