No Financial Nerve Blocks in the ED Disclosures Arun Nagdev, MD - PDF document

Ultrasound-Guided No Financial Nerve Blocks in the ED Disclosures Arun Nagdev, MD Director, Emergency Ultrasound Highland General Hospital Outline • Lower Extremity Nerve Blocks • Femoral • Distal Sciatic in the Popliteal Fossa Femoral Nerve Block • Posterior Tibial • Upper Extremity Nerve Blocks • Brachial Plexus (Interscalene) • Brachial Plexus (Supraclavicular) • Super fi cial Cervical Plexus

Supplies for FNB 1) 20cc lidocaine 1-2% with epi 2) Chlorhexidine scrub 3) 20-22g 3.5 inch spinal needle 4) 25g needle for local skin wheal 5) Transparent transducer cover (optional) Linear Transducer (high frequency) N A V A B Needle Lateral Medial Femoral Atery Femoral Nerve FA FN Fascia Iliaca FV

Distal Sciatic Nerve Block in the Popliteal Fossa

Posterior Tibial Nerve Block

Interscalene and Supraclavicular Brachial Plexus Block

Super fi cial Cervical Plexus Block