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Home US Guided Regional Anesthesia LK native LD: Basic UGRA Supraclavicular BP block 6 - Supraclavicular anatomy

Private: LK native LD: Basic UGRA

LKnative - Introduction

Yet to Start

1 - Introduction to Basic UGRA (Ultrasound Guided Regional Anaesthesia)
2 - The learning objectives

LKnative - Equipment & techniques

Yet to Start

1 - Probes
3 - Colour Doppler mode
2 - Electrical nerve stimulation

Supraclavicular BP block

Yet to Start

2 - Anatomy of the brachial plexus
1 - Indications
3 - Kulenkampf - the first transcutaneous supraclavicular brachial plexus block
5 - How to place the probe for the supraclavicular block
4 - The first US guided nerve block by Stephan Kapral
11 - Always insert the needle with in-plane technique
7 - Supraclavicular approach: the brachial plexus is a cluster of black profiles
8 - The corner pocket
6 - Supraclavicular anatomy
9 - Always place the probe on top of the first rib and you will see the pleura
10 - Always inject local anesthetic in the corner pocket

LKnative - Infraclavicular BP block

Yet to Start

1 - The infraclavicular block of the brachial plexus
2 - Bone distribution of the nerves from the brachial plexus
4 - The cutaneous distribution of the nerves from the brachial plexus
5 - The cutaneous distribution of the radial nerve
3 - The muscular distribution of the nerves from the brachial plexus
6 - The cutaneous distribution of the median nerve
12 - How to perform the infraclavicular brachial plexus block
7 - The cutaneous distribution of the ulnar nerve
8 - Anatomy of the brachial plexus in the infraclavicular region
9 - The intercostobrachial nerve
11 - Indications of the infraclavicular approach to block the brachial plexus
13 - Infraclavicular block: Point of injection of local anaesthetic
14 - The infraclavicular block with repositioning of the needle tip
15 - Injection of local anaesthetic around the medial cord
17 - Avoid injecting air perineurally
16 - Colour Doppler

LKnative - Axillary BP block

Yet to Start

3 - Anatomy of the axilla
2 - The boundaries of the axilla
1 - Indications
7 - References
5 - Scanning technique
6 - Sonoanatomy of the axillary brachial plexus block
4 - Musculocutaneous nerve

LKnative - Interscalene BP block

Yet to Start

1 - Anatomy of the brachial plexus
2 - The bone innervation of the shoulder
9 - How to perform an ultrasound guided interscalene brachial plexus block
5 - Anatomy of the brachial plexus in the interscalene groove
8 - Indications of the interscalene block
4 - The cutaneous innervation of the shoulder
3 - The muscle innervation of the shoulder
13 - Tracking each spinal nerve root to the sulcus of the spinal nerve of the transverse process
14 - The in-plane approach to the interscalene brachial plexus block
15 - Tracking the brachial plexus from the subclavian artery to the interscalene groove
12 - The spinal nerve roots can be tracked to the sulcus of the transverse process
11 - String of black pearls
10 - The in-plane approach to the interscalene brachial plexus block
17 - Relocating the needle tip - continued
18 - The contrast effect of the local anaesthetic
19 - Do not penetrate the brachial plexus nerves in the interscalene groove
16 - Relocating the needle tip

LKnative - Femoral nerve and femoral triangle blocks

Yet to Start

3 - The anatomy of the femoral nerve
4 - Bone and joint innervation of the femoral nerve
5 - The muscles innervated by the femoral nerve
1 - Anatomy of the femoral nerve
2 - The anatomy of the femoral nerve
11 - The appearance of the femoral nerve
12 - In-plane needle approach and injection of local anaesthetic around the femoral nerve
7 - The saphenous nerve territory - a femoral nerve branch
10 - How to perform a femoral nerve block
9 - Indications of the femoral nerve block
6 - The cutaneous distribution of the femoral nerve
15 - The cutaneous distribution of the saphenous nerve
17 - Blocking the saphenous nerve separately in the adductor canal
18 - The saphenous nerve block
13 - The saphenous nerve can be blocked separately
14 - The sonoanatomy of the saphenous nerve in the femoral triangle and the adductor canal

LKnative - Popliteal sciatic nerve block

Yet to Start

6 - The lateral plantar nerve branch of the tibial nerve
5 - The medial plantar nerve branch of the tibial nerve
4 - Tibial nerve branches to the knee: The genicular nerves
3 - The tibial nerve
2 - Anatomy of the sciatic nerve in the popliteal fossa
1 - Anatomy of the sciatic nerve
7 - The medial calcaneal nerve branch of the tibial nerve
11 - The sural nerve - a branch from the tibial nerve
9 - The medial plantar nerve innervation of the toe tips and the nailbeds
10 - The sural nerve branches off the tibial nerve in the popliteal fossa
8 - Cutaneus innervation of the sole of the foot from the tibial nerve
13 - The common peroneal nerve
14 - The common peroneal nerve
15 - The peroneal communicating nerve
16 - The lateral cutaneous nerve of the calf
12 - Cutaneus distribution of the sural nerve
21 - Cutaneous distribution of the deep peroneal nerve
20 - The deep peroneal nerve
19 - Cutaneous distribution of the superficial peroneal nerve
17 - Lateral cutaneous nerve of the calf
18 - The superficial peroneal nerve - a terminal branch of the common peroneal nerve
28 - The benefit of blocking the branches after the bifurcation
29 - Appearance of the peroneal nerve at the bifurcation
22 - Non-sciatic innervation of the leg, ankle and foot
23 - Non-sciatic innervation of the leg
26 - How to perform a sciatic popliteal nerve block
27 - Use the popliteal artery as a proxy marker
30 - Complete perineural spread of local anaesthetic by relocating the needle tip
31 - Relocating the needle tip
32 - Avoid intraneural injection of local anaesthetic
33 - You can touch the nerve but don't pierce it
34 - Blocking the sciatic nerve proximal to the bifurcation
35 - The endpoint of injection
36 - Enhanced visibility after injection
37 - Reduced nerve visibility in obese patients

LKnative - TAP Block

Yet to Start

1 - Transversus abdominis plane block
2 - Transversus abdominis plane block
3 - The intercostal TAP plexus block
4 - The classic TAP plexus block
5 - Indications for the Bilateral Dual TAP block (BD-TAP block)
6 - The intercostal TAP block
7 - How to perform the classic TAP plexus block
8 - The classic TAP block

LKnative - Ilioinguinal & iliohypogastric nerve block

Yet to Start

5 - Sonoanatomy of the ilioinguinal/iliohypogastric nerve block
4 - Scanning technique with the ultrasound guided ilioinguinal/iliohypogastric nerve block
1 - Indications
2 - Anatomy of the iliohypogastric nerve
3 - Anatomy of the ilioinguinal nerve
7 - References

LKnative - Intercostal block

Yet to Start

2 - Anatomy of the intercostal nerve
1 - Indications
4 - Sonoanatomy: The intercostal nerves
3 - Scanning technique for ultrasound guided intercostal block

LKnative - Ankle block

Yet to Start

1 - Indications
2 - Anatomy: The trajectory of the sural nerve
3 - Anatomy: The trajectory of the superficial peroneal nerve
8 - Sonoanatomy of the deep peroneal nerve anterior to the ankle joint
4 - Anatomy: The trajectory of the deep peroneal nerve
5 - The trajectory of the tibial nerve
6 - Anatomy: The trajectory of the saphenous nerve
7 - Scanning technique
11 - Sonoanatomy of the tibial nerve
12 - Sonoanatomy of the sural nerve
13 - Sonoanatomy of the saphenous nerve
15 - References
9 - Sonoanatomy of the deep peroneal nerve in the anterior compartment
10 - Sonoanatomy of the superficial peroneal nerve

LKnative - Rectus sheath block

Yet to Start

4 - Scanning technique for the ultrasound guided rectus sheath block
5 - Sonoanatomy of the rectus sheath block
3 - Anatomy: The rectus abdominis muscle
1 - Indications
2 - Anatomy of the rectus sheath
7 - References

LKnative - Fascia iliaca compartment block

Yet to Start

4 - Sonoanatomy of the fascia iliaca compartment block
2 - Anatomy of the fascia iliaca compartment
1 - Indications
3 - Scanning technique for the fascia iliaca compartment block
6 - References

LKnative - PECS blocks

Yet to Start

3 - Anatomy: The clavipectoral fascia
1 - Indications
2 - Anatomy: The medial and lateral pectoral nerves
4 - Anatomy: The clavipectoral fascia from a sagittal view
10 - Sonoanatomy: PECS I block and step one of the PECS II block
9 - Scanning technique
8 - Anatomy: Cutaneous innervation of the branches of the intercostal nerves
7 - Anatomy: Intercostal nerves
5 - Anatomy: The clavipectoral fascia penetrated by nerve and vessels
6 - Anatomy: The nerves in the axilla
15 - References
13 - Sonoanatomy: Needle insertion for step two of PECS II
12 - Sonoanatomy: Identify the ribs
11 - Sonoanatomy: Step two of the PECS II block

LKnative - Serratus plane block

Yet to Start

1 - Indications
4 - References
2 - Anatomy
3 - Sonoanatomy and needle insertion

LKnative - Summary

Yet to Start

1 - Summary

Supraclavicular BP block

6 – Supraclavicular anatomy

← Back to Lesson

The brachial plexus runs across the first rib in close relationship to the subclavian artery

On top of the first rib the branches of the brachial plexus are located postero-superior to the artery

Image missing — The subclavian artery (green arrow) ends at the lateral margin of the first rib (blue arrow) where it becomes the axillary artery which dives under the clavicle (magenta arrow)

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