Another Team Player
“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 →
Acute Compartment Syndrome (ACS)
“What are the odds?” I have discussed in lecture and in conversation the reasonable consideration of continuous peripheral nerve blocks when ACS is a potential risk and strategies we can utilize to optimize patient care and minimize the possibility of delaying the diagnosis of ACS. I was pleased to see this topic discussed in.. read more →
Fascia Iliaca Tips #2
THE SPREAD Usually, the Fascia Iliaca and Fascia Lata are clearly identifiable next to the thinner and less echogenic muscle fibers of the Sartorius and Iliopsoas muscles. There are times, however, when the deeper border of the Sartorius muscle blends in well or the exact position of the tip of your needle is difficult to.. read more →
TAP
Though the TAP block tends to be one that people venture into after they have started with at least a few of the orthopedic blocks, I would recommend putting it on the short list of blocks to learn even if you are just starting to use ultrasound. It is a very easy block.. read more →
SAPHENOUS
This is an often overlooked nerve block for ankle and foot procedures. This furthest extension of the femoral nerve has no motor component. It serves sensory innervation to the medial aspect of the calf including the ankle and some degree of the medial aspect of the forefoot. It also has a small contribution.. read more →
PARAVERTEBRAL
This is not a block that you should cut your teeth on, but it is the one that, in my opinion, has the most dramatic impact on the recovery of my patients. It is just awesome to speak to a patient after a thoracotomy that can take a deep breath and cough easily.. read more →