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

June 15, 2014
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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
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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 →

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

January 6, 2014
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Nursing Inservice: Acute Pain / CPNB Program – Part 2

December 10, 2013
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Questions about Upper Extremity Blocks Answered

October 19, 2013
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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 →


December 28, 2012
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   Above, you can see a needle advancing from the left of the image and piercing the middle scalene muscle to approach the ‘corner pocket’ at 2 cm depth. The muscle is indistinct due to the very steep angle at which it is being viewed. The ‘corner pocket’ is at the intersection of the rib, artery.. read more →

Total Shoulder, Bad Lungs

September 28, 2012
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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 →