Nerve-stimulator-guided Nerve Blocks Video Tutorials

Nerve-stimulator-guidedNerve-stimulator-guided Videos

Supraclavicular block

This is a video tutorial that discusses the ultrasound and nerve stimulator-guided single-injection supraclavicular nerve block. It deals with the applied anatomy (BoezaartV031a) and the technique (BoezaartV031b) in great detail. The ultrasound-guided version of this block is a much safer choice, because the nerve stimulator-guided version may have a high incidence of pneumothorax. Ultrasound guidance has elevated this block from a seldom done block to the go-to high yield block for distal upper limb surgery. It is very effective and…
Nerve-stimulator-guidedNerve-stimulator-guided Videos

Continuous cervical paravertyebral block

This is a video tutorial that discusses the nerve stimulator-guided continuous cervical paravertebral block. It deals with the applied anatomy and the technique in great detail. The single-injection version of this and all other paravertebral blocks is identical, but a bolus of the local anesthetic agent is injected through the needle, and a catheter is not placed. Exactly the same equipment (large bore Tuohy needles) and approach should be needed. Like all other continuous nerve blocks, secondary block failure is…
Nerve-stimulator-guidedNerve-stimulator-guided Videos

Continuous axillary block

This is a video tutorial that discusses the nerve stimulator-guided continuous axillary block. It deals with the applied anatomy and the technique in great detail. Because al the nerves at this level are in their own circumneural sheath, this block is falling out of favor, because the continuous infraclavicular nerve block (below) is a better choice and the continuous axillary block has a high rate of secondary block failure because the nerves are all separate entities at this level, and…
Nerve-stimulator-guidedNerve-stimulator-guided Videos

Continuous interscalene block

This is a video tutorial that discusses the nerve stimulator-guided continuous interscalene nerve block. It deals with the applied anatomy and the technique in great detail. Like all other continuous nerve blocks, secondary block failure is a huge problem if the catheter is not placed in the correct perineural compartment (see the microanatomy section for detail). Experience has taught us that needle placement with ultrasound and then catheter placement with nerve stimulator guidance provides the best of both worlds and…

Nerve-stimulator-guided Nerve Blocks PDF Tutorials