By Gisela Meier, Johannes Büttner
Read or Download Pocket Compendium of Peripheral Nerve Blocks (Regional Anesthesia) PDF
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Extra resources for Pocket Compendium of Peripheral Nerve Blocks (Regional Anesthesia)
Blocks in the elbow region Median nerve Patient position and method: Arm stretched out laterally, externally rotated with the hand supinated. The site of insertion is approx. 1 cm medial (ulnar) of the brachial artery tangential to the nerve using a unipolar 22 G needle of 4 cm length. A stimulus response of the median nerve expected at a depth of 1 – 2 cm. Please note: Mm = Median nerve medial to the artery. Blocks in the elbow region Ulnar nerve Patient position and method: The arm is abducted, with elbow flexed 30°.
Every 6 hours) Needles: 10 cm, 20 G, 30° or 15° bevel unipolar needle Continuous: E. g. ), Contiplex® (B. Braun) The catheter is advanced 4 – 5 cm beyond the needle tip in a cranial direction 50 a site of insertion: midpoint of line between the greater trochanter and the ischial tuberosity b greater trochanter c ischial tuberosity c b a 1 sciatic n. 2 greater trochanter 3 ischial tuberosity 1 2 3 51 Proximal anterior/ventral sciatic nerve block (acc. to Meier) Patient position and method: Patient supine with the leg in a neutral position.
L. ) c biceps femoris m. (short head) d vastus lateralis m. e patella e d Direction of needle: 20° – 30° dorsally, 45° cranially c b a 57 Distal posterior sciatic nerve block (acc. to Meier) Patient position and method: Patient in the lateral position with the lower leg semi-flexed in hip and knee. The leg to be blocked is uppermost and stretched, a pillow placed between the knees as a comforting support. Alternatively: Patient supine with the leg to be blocked flexed in the hip and knee (leg support necessary).
Pocket Compendium of Peripheral Nerve Blocks (Regional Anesthesia) by Gisela Meier, Johannes Büttner