Peripheral Nerve Blocks
| Block Type | Surgical Indications |
Needle
Length
|
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|
1
in.
|
2
in.
|
4
in.
|
6
in.
|
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|
UPPER
EXTREMITY BLOCKS
|
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| Interscalene | Shoulder, clavicle, upper arm, radial portions - Interscalene upper arm and hand, shoulder joint mobilization |
 |
|
|
|
| Supraclavicular | Above the elbow |
|
|
|
|
| Infraclavicular
A. Vertical Approach |
Distal upper arm, forearm, hand |
|
|
|
|
| B. Raj Approach | Distal upper arm, forearm, hand |
|
|
|
|
| Axillary | Forearm, elbow |
|
|
|
|
| Mid Humeral | At or below the elbow |
|
|
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|
| Pediatric | Various |
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LOWER
EXTREMITY BLOCKS
|
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| Lumbar
Plexus 3-in-1 Block Femoral Nerve |
Hip
surgery, femur fractures, above the knee amputation, total knee, ACL, patella repair |
|
|
|
|
| Psoas Compartment | Typically
used in combination with Sciatic Block; hip and knee procedures |
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Sciatic Blocks:
|
Typically
used in combination with 3-in-1 or blocks for lower extremities:
Total Knee, ACL, application of tourniquet at the thigh |
|
|
|
|
| C.
Popliteal Fossa Approach 1. Posterior |
Surgery at or below the knee |
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| 2. Lateral | Surgery at or below the knee |
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| *Adapted
from: Peripheral Nerve Blocks: A Color Atlas; edited by Jacques
E. Chelly, MD., Ph.D.; 1999
www.regionalblock.com |
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