| Block
Type |
Surgical Indications |
Needle
Length
|
|
1
in.
|
2
in.
|
4
in.
|
6
in.
|
|
UPPER
EXTREMITY BLOCKS
|
| Interscalene |
Shoulder,
clavicle, upper arm, radial portions - Interscalene upper arm and
hand, shoulder joint mobilization |
|
|
|
|
| Supraclavicular |
Above
the elbow |
|
|
|
|
Infraclavicular
A. Vertical Approach |
Distal
upper arm, forearm, hand |
|
|
|
|
| B.
Raj Approach |
Distal
upper arm, forearm, hand |
|
|
|
|
| Axillary |
Forearm,
elbow |
|
|
|
|
| Mid
Humeral |
At
or below the elbow |
|
|
|
|
| Pediatric |
Various |
|
|
|
|
|
LOWER
EXTREMITY BLOCKS
|
Lumbar
Plexus
3-in-1 Block
Femoral Nerve |
Hip
surgery, femur fractures, above the knee
amputation, total knee, ACL, patella repair |
|
|
|
|
| Psoas
Compartment |
Typically
used in combination with Sciatic Block;
hip and knee procedures |
|
|
|
|
|
Sciatic Blocks:
A. Anterior Approach
B. Posterior Approach
|
Typically
used in combination with 3-in-1 or blocks for lower extremities:
Total Knee, ACL, application of tourniquet at the thigh |
|
|
|
|
C.
Popliteal Fossa Approach
1. Posterior |
Surgery
at or below the knee |
|
|
|
|
|
2. Lateral |
Surgery
at or below the knee |
|
|
|
|
*Adapted
from: Peripheral Nerve Blocks: A Color Atlas; edited by Jacques
E. Chelly, MD., Ph.D.; 1999
www.regionalblock.com |
