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Regional > Tech for LE blocks (Josh) > Flashcards

Tech for LE blocks (Josh) Flashcards

1
Q

Sciatic Nerve Block:

position

A
  • Pt placesed in lateral SIMS
  • with leg being blocked uppermost, flexed at the knee, resting on dependent LE
    *
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2
Q

Sciatic Nerve Block:

needle insertion site

A
  • line drawn from posterior iliac spine to midpoint of greater trachanter
  • draw perpendicular line at midpoint caudal 5 cm
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3
Q

Pics

A
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4
Q

Pic

A
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5
Q

pic

A
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6
Q

Pic

A
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7
Q

Pic

A
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8
Q

Pic

A
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9
Q

Sciatic Nerve Block:

what size needle

A

22 g 10-12 cm spinal

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10
Q

Sciatic Nerve Block:

advance needle at 2 mA until you see what response with stimulator

A
  • dorsiflexion and plantar flexion of foot
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11
Q

what is one of the largest nerve trunks in the body

A

sciatic

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12
Q

Femoral Nerve Block:

largest branch of lumbar plexus, formed by posterior branches of what spinal nerves

A

L2-4

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13
Q

the sciatic nerves arise where ant or post?

the femoral nerves arise where ant or post?

A
  • anterior
  • Posterior
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14
Q

Femoral Nerve Block:

the nerve passes under what in the grove formed by the psoas and iliacus muscels

A
  • inguinial ligament
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15
Q

Femoral Nerve Block:

landmarks for needle insertion

A
  • Draw a line connecting the anterior superior iliac and pubic tubercle
  • Palpate Femoral artery and draw line denoting its place in groin
  • draw a line just lateral to the femoral artery (in the same plane as the previous line insert needle

(NAVI)

or I use

NAVagate a VAN

NAV VAN

Nerve artery vein (no no spot) Vein artery Nerve

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16
Q

Femoral Nerve Block:

Neddle selection

A

22g “B” bevel (2cm)

17
Q

Femoral Nerve Block:

what are you looking for to confirm corrct placement of needle

A

quadraceps twitch

24
Q

Fascia Iliaca Compartment block:

position

25
Q

Fascia Iliaca Compartment block:

landmarks

A
  • Palpate inguinal ligament and draw a n outline on skin
  • divide ligament drawing into 3 equal parts (lateral, middle, medial)
  • place a mark 1 cm caudal to where the middle and lateral marks meet
26
Q

Fascia Iliaca Compartment block:

needle selection? and why?

A

touhy

using LOR

27
Q

Fascia Iliaca Compartment block:

how many LOR will you feel and what are they?

A
  • 1st tip crosses fascia lata
  • 2nd fascia iliaca
28
Q

Fascia Iliaca Compartment block:

steps

A
  • insert needle at 75 degree angle
  • 1st LOR
  • 2nd LOR
  • decrease angle to 30degrees and advance 1 cm cephalad
  • aspirate inject over 2 min while giving distal pressure
  • massage in cephalad direction
  • hold pressure x 2 min
29
Q

Fascia Iliaca Compartment block:

why is this block used now

A

3 in 1 block

30
Q

thats it

Regional (24 decks)

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