Blocks and indications

Question 1

Interscalene biggest risks

Answer 1

Phrenic nerve paralysis is most common with this block- important for severe COPD patients
Horners- although indicative of successful block, ptosis, miosis, anhidrosis

Question 2

Interscalene

Answer 2

Shoulder, clavicle, upper arm

Question 3

Supraclavicular indications

Answer 3

Upper arm, wrist, hand

Question 4

Infraclavicular indications

Answer 4

Upper arm, elbow, wrist, hand
NO Shoulder

Question 5

Axillary indications

Answer 5

ALL BRANCHES EXCEPT AXILLARY
Forearm and hand
Musculucutaneous is high risk for injury

Question 6

Distal block landmarks for all

Answer 6

M none
A armpit
R between bicep and brachioradialis/ radial styloid
M medial to bicep/ flexor carpi radialis and longus tendon
U between olecranon and medial epicondyle/ ulnar styloid

Question 7

IVRA indications

Answer 7

carpal tunnel
dupuytrens

Question 8

Supraclavicular risks

Answer 8

Pneumo is greates with this block (cough, chest pain, dyspnea)
Especially in taller patients

Question 9

Bier block indications

Answer 9

Carpal tunnel
Dupuytrens contracture surgery

Question 10

PENG pericapsular nerve group block indications

Answer 10

Hips

Question 11

Fascia iliaca

Answer 11

Femur quad knee

Question 12

Femoral nerve block

Answer 12

With sciatic- complete leg block
hip, femur, quad, knee

Question 13

Adductor canal

Answer 13

ACL MCL patella
Vein harvest
supplement to sciatic for foot/ankle

Question 14

Popliteal block

Answer 14

ankle, achilles, foot

Question 15

Ankle block