Peripheral Nerves 1 (part 2) Flashcards
8 Cervical
12 Thoracic
5 Lumbar
5 Sacral
1 Coccygeal
Spinal Cord Segments (31 total)
Spinal Cord rootlets gather together to make a spinal root (dorsal or ventral). The spinal roots then join peripherally into a spinal nerve.
Rootlets -> Roots -> Nerve
Spinal Cord Segments
Sensory. Cell bodies are located peripherally in a dorsal root ganglion.
-Bring sensory (afferent) fibers to the spinal cord
-GSA/GVA fibers
Dorsal Spinal Root
Motor. Cell bodies are located within the Ventral Gray Horn of the spinal cord
-Carry motor (afferent) fibers away from the spinal cord
-SE/GVE fibers
Ventral Spinal Root
As soon as the spinal nerve is formed, it branches into Dorsal and Ventral ____ ____.
Primary Rami
Mixed fibers
-Medial: Sensory
-Lateral: Motor
Dorsal Primary Rami
Formed by the VPR of Spinal Nerves.
-Mixing of Axons gives the upper limbs their variability, excitability, and ability to carry out different tasks
Brachial Plexus
A high block that uses a Cervical Approach via the Cricoid Cartilage (C4-C6). Injection goes into the interscalene gap (between the anterior and middle scalene)
-Provides anesthesia for the proximal upper limb (shoulder surgeries)
Interscalene Block
A block that goes over the top of the clavicle to anesthetize the elbow region (upper limb)
Supraclavicular Approach
A block done to anesthetize the wrist/hand (distal limb)
Axillary Approach
A layer of connective tissue that is wound around the brachial plexus (Saran wrap). Keeps everything held together.
-Used in anesthesia: Inject medication into the space between this and the brachial plexus
-This holds the anesthesia in place like a bag around the brachial plexus
Axillary Sheath
Where the proximal portion of the Brachial Plexus sits. Right behind the SCM, between the Anterior and Middle Scalene muscles
-Also contains the Subclavian Artery
Scalene Gap (notch/opening)
About halfway down the SCM, where you can see C5-C8 & T1
Erb’s Point
C5 & C6 VPR make the Upper
C7 VPR makes the Middle
C8 & T1 VPR make the Lower
Trunks
The posterior divisions of the Upper, Middle, and Lower Trunks
Posterior Cord of the Brachial Plexus
The anterior division of the upper trunk and the anterior division of the middle trunk
Lateral Cord of the Brachial Plexus
The division of the lower trunk continues forward to the form the ____.
Medial Cord of the Brachial Plexus
If you have C4 giving a contribution to C5
Pre-fixed Brachial Plexus