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
*
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
3
Q
Pics
A
4
Q
Pic
A
5
Q
pic
A
6
Q
Pic
A
7
Q
Pic
A
8
Q
Pic
A
9
Q
Sciatic Nerve Block:
what size needle
A
22 g 10-12 cm spinal
10
Q
Sciatic Nerve Block:
advance needle at 2 mA until you see what response with stimulator
A
- dorsiflexion and plantar flexion of foot
11
Q
what is one of the largest nerve trunks in the body
A
sciatic
12
Q
Femoral Nerve Block:
largest branch of lumbar plexus, formed by posterior branches of what spinal nerves
A
L2-4
13
Q
the sciatic nerves arise where ant or post?
the femoral nerves arise where ant or post?
A
- anterior
- Posterior
14
Q
Femoral Nerve Block:
the nerve passes under what in the grove formed by the psoas and iliacus muscels
A
- inguinial ligament
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
18
Q
Pic
A
19
Q
Pic
A
20
Q
Pic
A
21
Q
Pic
A
22
Q
Pic
A
23
Q
Pic
A
