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Home US Guided Regional Anesthesia LK native LD: Basic UGRA LKnative - Interscalene BP block 16 - Relocating the needle tip

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

LKnative - Interscalene BP block

16 – Relocating the needle tip

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If the perineural spread of local anaesthetic is not perfect, the needle can be relocated in real-time before injection of the remaining local anaesthetic

Click on the VIDEO CLIP button to view the video

Image missing — Relocate the needle tip if necessary to obtain perineural spread of local anaesthetic
C5 = spinal nerve root of C5; C6 = spinal nerve root of C6 (2 profiles); ASM = anterior scalene muscle; MSM = middle scalene muscle

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