Axillary Block
The course of the axillary artery is palpated and marked in the proximal axilla. The expected location of the median nerve is superficial and lateral to the artery with the…
Ankle Block
Important surface landmarks to identify include the most cephalad portions of the medial malleolus (MM), lateral malleolus (LM), and the Achilles tendon posteriorly. The sural nerve is located in the…
Infraclavicular Block
After identification of this landmark, a point is marked 2 cm medial and 2 cm caudad to the most anterior tip of the coracoid process. A. View of right shoulder…
Subgluteal Sciatic Block
Landmarks for the ultrasound-guided subgluteal sciatic nerve block include the greater trochanter (GT) laterally and ischial tuberosity (IT) medially. Caudad to the gluteal crease, the sciatic nerve lies along the…
Popliteal Block
The popliteal crease is identified and marked while the patient flexes the knee. The medial and lateral borders of popliteal fossa are formed by semimembranosus and biceps femoris tendons. The…
Supraclavicular Block
Important surface landmarks include the sternocleidomastoid (SCM) and clavicle. The SCM may be identified by asking the patient to turn the head away from the affected side and flex the…
Interscalene Block
A line should be drawn along the posterior border of the SCM. The cricoid cartilage should be identified and a line drawn along a skin crease at this level to…
Plexus Block
Draw the intercrestal line between the tops of the iliac crests which intersects the midline at a 90 degree angle. A third line parallel to midline is marked through the…
Anesthesia in the Anticoagulated Patient
The recommendations in the following tables were adapted from the 2010 Consensus Conference of the American Society of Regional Anesthesia and Pain Medicine, “Regional Anesthesia in the Patient Receiving Antithrombotic…
