Superficial Cervical Plexus Block
Transversus Abdominis Plane Block
General Indications
Cervical Plexus Block – Unilateral procedures on the neck (carotid endarterectomy, lymph node resecton), tracheostomy, supplement to interscalene blockade Intercostal Block – Rib fracture pain, herpes zoster or cancer pain Inguinal Nerve Block – Inguinal or genital surgery (may spare genitofemoral) Penile Block – Penile surgery Share and Enjoy:
Cervical Plexus Anatomy
Anatomy: Anterior rami of C2-C4. Indications: 1. Carotid endarterectomy 2. Lymph node resection 3. Plastic surgery procedures 4. Tracheostomy Complications 1. Phrenic nerve block 2. Intravascular injection 3. Subarachnoid injection 4. Infection 5. Hematoma 6. Neuropathy Share and Enjoy:
Superficial Cervical Plexus Block
Superficial Cervical Plexus Block Patient position: Supine, face to the opposite side of block Landmarks: Needle insertion site is the middle of the line joining the mastoid process and Chassaignec’s tubercle (transverse process of C6) behind the posterior border of the sternocleidomastoid muscle. Endpoint: Tingling sensation on side of neck with nerve …
Deep Cervical Plexus Block
Deep Cervical Plexus Block Patient position: Supine, face slightly turned to opposite side of block Landmarks: Draw a line between the tip of the mastoid process and Chessaignec’s tubercle (transverse process of C6) behind the posterior border of the sternocleidomastoid muscle. Insert the needle at 2cm, 4cm, and 6cm on this line caudad …
Inguinal Nerve Block
Indications: Circumcision Technique: Patient Position: Supine Landmarks: Illiohypogastric and Illioinguinal nerves are blocked are blocked by injecting local anesthetic 2 cm medial to the Anterior Superior Illiac Spine. Endpoints: Inject 10cc of local anesthetic. Share and Enjoy:
Genitofemoral Nerve Block
Indications: Inguinal hernia, Orchiopexy, Genital surgery Technique: Patient Position: Supine Landmarks: Inject local anesthetic lateral to the pubic tubercle and subcutaneously below the inguinal ligament. Share and Enjoy:
Penile Block
Indications: Circumcision Technique: Patient Position: Supine Landmarks: The penis is supplied by the pudendal nerve which supplies the dorsal nerve of the penis bilaterally. The penile block is performed by injecting local anesthetic at the base and on both sides of the penis. Endpoints: Up to 10cc of local anesthetic without …
Paravertebral Block
Indications: Primary anesthetic for breast surgery +/- axillary dissection, chest wall procedures,herniorraphy, . Post-operative analgesic for video-assisted throcoscopy, thoracotomy, nephrectomy, cholecystectomy, or C-Section. Level of the Blockade Spinal roots of the dermatomes within the operative field: Mastectomy w/axillary dissection (T1-T6) Breast Biopsy ( Dermatome corresponding to biopsy site ) Umbilical Hernia ( T9-T11) Inguinal …
Transversus Abdominus Plane Block
Indications Surgery for middle & lower abdomen Ventral & inguinal hernia repair Laparoscopic & open appendectomy/Chole C- Section Abdominal Hysterectomy Nephrectomy/ renal transplant Laparoscopic & open colorectal surgery Level of the Blockade Ventral branches of T10 – L1 with occasional T7 –T9 Spinal nerves as well as ilioinguinal & iliohypogastric …
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