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Regional Flashcards

(64 cards)

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1
Q

Where is LA injected for PENG block

A

deep into the psoas tendon at the level of the iliopubic eminence (IPE)

preserves quad function

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2
Q

what is an alternative to the femoral and fascia iliaca block

A

PENG + lateral femoral cutaneous

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3
Q

what block is this

A

PENG

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4
Q

what nerves does the fascia iliaca block target

A

femoral
obturator
Lateral femoral cutaneous

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5
Q

what block is this

A

fascia iliaca

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6
Q

what does the needle pass through in a fascia iliaca block

A

fascia lata

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7
Q

what are the roots of the femoral nerve

A

L2 3 4

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8
Q

where does the femoral nerve run between

A

psoas major and iliacus muscle

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9
Q

femoral triangle landmarks

A

base - inguinal ligament
towards inside thigh: adductor longus
outside thigh: sartorius

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10
Q

what block is this

A

femoral nerve block

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11
Q

adductor canal boundaries

A

roof of canal: satorius
lateral wall: vastus medialis
remainder of canal: adductor longus or magnus

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12
Q

what block is this

A

adductor canal block

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13
Q

where do you inject LA in adductor canal block

A

fascial plane between vastus medialis and sartorius

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14
Q

landmarks for popliteal block

A

popliteal vein and artery

bicep femoris, semitendinosus, semimembranosus

bifurcation of sciatic nerve

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15
Q

sciatic nerve splits into

A

tibial nerve
common peroneal nerve

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16
Q

what block is this

A

popliteal block

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17
Q

TIPPED

A

tibial inversion plantar flexion

peroneal eversion dorsiflexion

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18
Q

interscalene targets ____

A

c5-c7 roots

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19
Q

what is this block

A

interscalene

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20
Q

landmarks for interscalene block

A

cricoid cartilage
clavicle
lateral border clavicular head SCM

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21
Q

acceptable stimulation of interscalene block

A

deltoid (shoulder abduction)
pec major (arm internal rotation)
biceps (elbow flexion)
triceps (elbow extension)
any twitch of hand/forearm

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22
Q

supraclavicular block targets

A

trunks and divisions

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23
Q

what block is this

A

supraclavicular block

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24
Q

acceptable responses for supraclavicular block stimulation

A

finger twitch

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25
what block is this
infraclavicular
26
Which block is a good option for patients with respiratory insufficiency
infraclavicular block + axillary block
27
axillary block targets _____
terminal branches of brachial plexux
28
what does axillary block not cover
skin of upper medial arm (intercostobrachial) skin over deltoid (axillary)
29
what block is this
axillary
30
median nerve stimulation =
finger flexion + forearm pronation
31
ulnar nerve stimulation =
finger flexion + thumb adduction
32
what nerve is blocked between the biceps tendon and brachioradialis
radial n
33
what nerve is blocked between the olecranon and the medial epicondyle of the humerus
unlar n
34
what nerve is blocked in the antecubital fossa
median nerve
35
median nerve landmarks at the wrist
flexor carpi radialis tendon flexor palmaris longus tendon
36
PECS 1 LA injection site
fascial plane between pec major and pec minor
37
PECS 2 LA injection site
fascial plane between pec major and pec minor and pec minor and serratus anterior
38
Serratus anterior plane LA injection site
fascial plane between the latissimus dorsi and serratus anterior
39
what block is this
SAP block
40
where do intercostal nerves arise from
ventral rami of the thoracic spinal nerves (T1-T11)
41
which thoracic nerves innervate the covering of the chest wall, intercostal muscles, and parietal pleura
T2-T6
42
what level thoracic nerves innervate the abdomen, abdominal muscles and parietal peritoneum
T7-T11
43
what block is this
intercostal
44
which thoracic levels are difficult for intercostal block
T1-T5 bc of thickness of paraspinal muscles and scapula use paravertebral block instead
45
boundaries of paravertebral block
anterior- parietal pleura medial- vertebral body and intravertebral foramen posterior- transverse process and superior costotransverse ligament
46
what does the paravertebral block target
the spinal nerves (somatic and sympathetic as they emerge from the intervertebral foramen and enter the paravertebral space
47
what block is this
paravertebral
48
postdural puncture headache is a complication of which truncal block
paravertebral block
49
muscles of erector spinae
iliocostalis longissimus spinalis
50
what dose the ESB block target
fascial plane block target the dorsal and ventral rami of the thoracolumbar nerves at the level of injection
51
what block is this
ESB
52
triangle of Petit boundaries
posterior- latissimus dorsi anterior- external oblique inferior- iliac crest inside- internal oblique
53
What nerves does that TAP block
T6-L1
54
what are the 3 approaches to TAP block
subcostal (above umbilicus) lateral and posterior (below umbilicus)
55
what does the rectus sheath block target
thoracolumbar nerves and the anterior cutaneous branches that provide sensory innervation to the abdominal wall no visceral coverage
56
where does QLM originate
posterior aspect of the iliac crest and iliolumbar ligament extends to the 12th rib and transverse processes of L1-L4
57
where is LA injected at QL 1
lateral to the QLM
58
where is LA injected in QL2
posterior to the QLM
59
where is LA injected in QL3
anterior to QLM
60
indications for QL1
abdominal surgeries below umbilicus
61
indications for QL2 and QL3
Abdominal surgeries below or above the umbilicus
62
what block is this
QL1
63
what block is this
QL3
64
what sign do you look for in QL3
shamrock sign 3 nerves and L4 transverse process is the stem

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