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Home US Guided Regional Anesthesia LK native LD2: Advanced UGRA LKnative - Thoracic paravertebral block 5 - Anatomy of the thoracic paravertebral space

Private: LK native LD2: Advanced UGRA

LKnative - Ankle block
Yet to Start
  • 1 - Indications
  • 3 - Anatomy: The trajectory of the superficial peroneal nerve
  • 4 - Anatomy: The trajectory of the deep peroneal nerve
  • 5 - The trajectory of the tibial nerve
  • 2 - Anatomy: The trajectory of the sural nerve
  • 9 - Sonoanatomy of the deep peroneal nerve in the anterior compartment
  • 10 - Sonoanatomy of the superficial peroneal nerve
  • 6 - Anatomy: The trajectory of the saphenous nerve
  • 7 - Scanning technique
  • 8 - Sonoanatomy of the deep peroneal nerve anterior to the ankle joint
  • 13 - Sonoanatomy of the saphenous nerve
  • 11 - Sonoanatomy of the tibial nerve
  • 12 - Sonoanatomy of the sural nerve
  • 15 - References
LKnative - Thoracic longus nerve block
Yet to Start
  • 1 - Indications
  • 2 - Anatomy of the long thoracic nerve
  • 3 - Scanning technique for infraclavicular approach to block the long thoracic nerve
  • 4 - Scanning technique to block the long thoracic nerve inside the middle scalene muscle
  • 5 - Sonoanatomy of the long thoracic nerve along the lateral thoracic wall
  • 6 - Sonoanatomy of the long thoracic nerve in the middle scalene muscle
  • 7 - References
LKnative - Quadratus lumborum block
Yet to Start
  • 1 - Indications
  • 2 - Anatomical relationship of the subcostal, ilioinguinal and hypogastric nerves to the QL muscle
  • 3 - The relationship of the subcostal, ilioinguinal and iliohypogastric nerves to the PMM
  • 4 - The transversalis fascia
  • 5 - Place probe in the transverse plane
  • 6 - Identification of the shamrock and needle insertion
LKnative - Caudal block
Yet to Start
  • 1 - Indications of caudal block
  • 2 - The vertebral canal
  • 3 - The supraspinous ligament
  • 4 - Anatomy of sacral hiatus
  • 7 - Sonoanatomy for the caudal block
  • 9 - Sonoanatomy of the sacral hiatus - transverse view
  • 8 - Sonoanatomy of the sacral part of the supraspinous ligament
  • 5 - The sacral hiatus
  • 6 - The sacral nerves
  • 10 - Sonoanatomy of the sacral hiatus - transverse view
  • 11 - US guided catheter placement in the caudal space
LKnative - Thoracic paravertebral block
Yet to Start
  • 1 - Indications
  • 2 - First thoracic paravertebral block
  • 6 - Drawing of the relation between the intercostal muscles and the transverse processes
  • 7 - Positioning and preparation
  • 5 - Anatomy of the thoracic paravertebral space
  • 3 - Complications
  • 4 - Contraindications
  • 10 - Sonoanatomy of the thoracic paravertebral block
  • 9 - In-plane needle approach
  • 8 - Choosing a level
LKnative - Lumbar plexus block
Yet to Start
  • 1 - Indications
  • 2 - Anatomy
  • 3 - Scanning technique
  • 4 - Sonoanatomy: The shamrock of the transverse process of L4 and surrounding muscles
  • 5 - Sonoanatomy of the shamrock without colour code
  • 6 - Sonoanatomy
  • 8 - References
LKnative - Sacral plexus block
Yet to Start
  • 2 - Anatomy of the parasacral region
  • 1 - Indications
  • 3 - Anatomy of the parasacral region: Gluteus maximus muscle removed
  • 7 - Scanning technique for the parasacral parallel shift
  • 6 - Anatomy of the parasacral region: Removal of the piriformis muscle
  • 5 - Anatomy of the parasacral region: Removal of the gluteus minimus muscle
  • 4 - Anatomy of the parasacral region: Gluteus medius muscle removed
  • 8 - Sonoanatomy: The parasacral parallel shift
  • 9 - Sonoanatomy: The sacral plexus
  • 10 - Sonoanatomy: The inferior gluteal artery
  • 12 - References
LKnative - Summary
Yet to Start
  • 1 - Summary
« ‹ › » page 2 / 2
LKnative - Thoracic paravertebral block

5 – Anatomy of the thoracic paravertebral space

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In the axial plane, the thoracic paravertebral space (TPS) is a triangle with the base turned towards the vertebral spine, the parietal pleura and the endothoracic fascia are the antero-lateral border and the internal intercostal membrane is the posterior border

The apex points into the intercostal space laterally

The TPS communicates with the epidural space via the intervertebral foramina, with the mediastinum antero-medially, and with the intercostal space laterally

The internal intercostal membrane is continuous with the internal intercostal muscle (between the external intercostal muscles and the innermost intercostal muscles) laterally and the superior costotransverse ligament medially

The TPS extends down to the vertebral body of L1

Image missing
TPS (red triangle), endothoracic fascia (black arrow), internal & external intercostal membranes (cyan & yellow arrows), innermost intercostal muscle (green arrow), ventral & dorsal rami (grey & white arrows), visceral and parietal pleura (magenta arrow), sympathetic chain (blue arrow), transverse process (magenta asterix)

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