Upper extremity blocks

Question 1

indications for a superficial cervical block

Answer 1

superficial surgery of the neck and shoulder, thyroid, CEA

Question 2

landmarks needed for a superficial cervical block

Answer 2

• mastoid process
• transverse process of C6
• posterior border of SCM muscle

Question 3

complications of superficial cervical block

Answer 3

• infection
• hematoma
• LA toxicity
• nerve injury

Question 4

indications for an interscalene block

Answer 4

• shoulder, lateral 2/3 of clavicle, proximal humerous, shoulder joint

Question 5

landmarks for an interscalene block

Answer 5

• sternal head of SCM
• clavicular head of SCM
• upper border of cricoid muscle
• clavicle

Question 6

complications of an interscalene block

Answer 6

• neuropathy
• mechanical plexus injury
• infection
• pneumothorax
• LA toxicity
• phrenic nerve block
• horners syndrome

Question 7

indications for a supraclavicular block

Answer 7

• any surgery of upper extremity not involving the shoulder
• excellent for elbow and hand

Question 8

contraindications of supraclavicular block

Answer 8

• no bilateral block
• can = resp emergency from bilateral phrenic nerve block

Question 9

landmarks needed for a supraclavicular block

Answer 9

• lateral insertion of SCM to clavicle
• clavicle
• patients midline

Question 10

complications of supraclavicular block

Answer 10

• phrenic nerve block
• horners syndrome
• pneumo
• LA toxicity
• nerve damage

Question 11

infraclavicular block indications

Answer 11

• any surgery of the arm up to the shoulder but not including the shoulder

Question 12

complications of infraclavicular block

Answer 12

• hematoma
• nerve damage
• LA toxicity
• pneumo

Question 13

indications for an axillary block

Answer 13

• surgery of the forearm, wrist, or hand

Question 14

branches of the brachial plexus that run along axillary artery

Answer 14

• radial, ulnar, median
• musculocutaneous exits early and may not get blocked

Question 15

complications of axillary block

Answer 15

• hematoma
• nerve damage
• LA toxicity

Question 16

indications for a wrist block

Answer 16

• carpel tunnel
• hand
• finger

Question 17

location of median nerve with wrist block

Answer 17

• between tendons of palmaris and flexor carpi radialis

Question 18

location of radial nerve with wrist block

Answer 18

• medial aspect of brachioradialis muscle

Question 19

locations of ulnar nerve with wrist block

Answer 19

• between ulnar artery and tendon of felxor carpi ulnaris

Question 20

complications of wrist block

Answer 20

• nerves are in a tight compartment
• dont give more than 5ml LA
• be cautions with intraneural injection

Question 21

what blocks cant you use epi on

Answer 21

• on done on the elbow and down