Ultrasound-Guided CPNB for the Upper Extremity Part 1: Interscalene & Supraclavicular

June 15, 2014
0 Comment

US-Guided CPNB for the Upper Extremity Part 1: Interscalene and Supraclavicular from CPNB Consulting read more →

How do I assure that my Supraclavicular (& Other) CPNB catheters will be a success?

March 31, 2014
0 Comment

This post is an adaptation of a question that was emailed to me by Dr Sharanu Patil, an anesthesiologist at SPARSH Hospital in Bangalore, India. Dr Patil has has been using ‘ultrasound only’ techniques for seven years and has regular success utilizing ultrasound-guided single injection supraclavicular nerve blocks, however, he has found that inserting catheters.. read more →

Another Team Player

January 20, 2014
0 Comment

“Everybody here has a voice…and you should listen!” I make this point over and over when I help to implement a CPNB Program. I will go on to say that even if those putting the catheters in place are the best in the world, the outcome of the CPNB Program will still have more to.. read more →

Ultrasound-Guided CPNB for the Upper Extremity PART 1: Supraclavicular & Interscalene

January 6, 2014
0 Comment

Nursing Inservice: Acute Pain / CPNB Program – Part 2

December 10, 2013
0 Comment

Questions about Upper Extremity Blocks Answered

October 19, 2013
0 Comment

The following dialogue was generated through the CPNBconsulting.com website. This was initiated by a regional anesthesia enthusiast in Bangalore, India who had some questions for Dr Jones on upper extremity nerve blocks.   Dear Sir, I had a few queries to clear from you: 1. Why after a supraclavicular block, are patients still be able.. read more →

Phrenic Nerve Dysfunction after ISB: my response to Recent Anesthesiology editorial

August 19, 2013
0 Comment

The following is my response as posted on PRACTICE OF REGIONAL ANESTHESIA on LinkedIn to: Phrenic Nerve Function After Interscalene Block Revisited: Now, the Long View  by Hogan, Quinn H. M.D.  Anesthesiology 119(2):250-252, August 2013 At first glance, this editorial and article were very concerning to me. As a profession, we do not have long-term.. read more →


December 28, 2012
0 Comment

     Converting from nerve stimulation to ultrasound for an interscalene nerve block classically involves going to a more posterior approach. This is also the case when changing from the traditional single injection to a continuous nerve block. For reasonable catheter securement issues as well as optimizing visualization with ultrasound, it becomes necessary to enter the skin several.. read more →

Total Shoulder, Bad Lungs

September 28, 2012
0 Comment

NOT MY USUAL STRATEGY  I’ve mentioned elsewhere on this site that I have successfully taken care of many patients with this particular scenario, even those who are ‘oxygen-dependent’. The basic dilemma is whether to offer an interscalene block to someone that may have respiratory embarrassment due to spread to the phrenic nerve, knowing that without.. read more →

Block Evaluation

February 13, 2012
0 Comment

TAKE TIME TO LOOK BEFORE YOU LEAP      Beyond visualizing a successful block on ultrasound, I usually will want to see an immediate effect of my local by asking the patient to raise their arm toward the ceiling (deltoids, C5 for an ISB) or extend their knee (for a femoral block). There are reasons why.. read more →