Block It Like It’s Hot: Regional Anesthesia, Pain Medicine & POCUS S2:E1 "Numb Hands & Our Top Finger-Tips: Nerve Blocks for Upper Limbs"
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Feb 20, 2024 Hosts discuss nerve block options for upper limb surgeries, optimizing techniques for precision and safety. They explore ultrasound guidance, tourniquet pain, opioid-free anesthesia, and the decision-making process for selecting nerve block techniques.
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Favor Infraclavicular For Distal Upper Limb
- Try the infraclavicular approach; it often feels the easiest and most reliable for distal upper-limb surgery.
- Prefer techniques that minimize needle passes and controversy around needle-tip placement.
Nine Raptor Blocks In A Row
- Jeff describes doing nine Raptor blocks in a row and enjoying the fast, obvious needle trajectory.
- He finds the needle naturally aligns to the six-o'clock position with minimal fuss.
Bag-Of-Marbles Analogy For Plexus Spread
- The brachial plexus can behave like 'a bag of marbles' inside a sheath, moving with injections.
- Staying extra-sheath (outside the bag) reduces neural injury risk but may slow onset or require more injections.