This is another simple and safe block that is PERFECT for anesthesia of the bottom of the foot (think lacerations and foreign bodies). The nerve is easy to see and right next to the posterior tibial artery which is a great landmark. This is a great block for those without a lot of comfort/experience with blocks. Here is a nice 5 minute video from 5minsono.
Superficial Cervical Plexus Block
This is a simple and safe block (don’t need large volume, not particularly close to any important anatomy) that can give you anesthesia of the anterior/lateral neck and ear. Consider it for ear lacerations, central line placement and clavicle fracture. It’s effectiveness can be variable but it is always worth a try. Here is a nice 5 minute video from 5minsono.
Fascia Iliaca Block
While this can anesthetize a large portion of the leg, I recommend focusing on the one high-yield application that has a number of studies to support it – Hip Fracture. You can decrease systemic opioid use and decrease the side-effects that come with it – constipation, delirium etc. Here is a nice 5 minute video from 5minsono.
Caring for a distal radius fracture with ultrasound.
Care of fractures with ultrasound is fun… and no fracture is easier than the distal radius fracture. Ultrasound can guide the hematoma block as well as the reduction. 2 minute video here.
This IV has found the name peripheral IJ. It is a peripheral IV catheter that is inserted in the INTERNAL jugular vein under ultrasound guidance with sterile but non-barrier technique. It is really nice in patients who need access for less than 72 hours when the nurses (and you) are having trouble getting a traditional peripheral IV. Be sure to use a longer 2.5 inch catheter. 5 minute video here.
How to place an ultrasound guided peripheral IV.
IV’s can be tough. Sometimes you have a nurse that is savvy with ultrasound but sometimes you don’t. Ultrasound can really help – both with just locating a vein but also with real-time guidance. It’s all covered here. 6 minute video.
Subclavian Central Line Placement
You might think that the clavicle would get in the way of using ultrasound guidance in subclavian central line placement, but it doesn’t… 2 minute video here.
Placing Internal Jugular Central Line
Using ultrasound for central line placement IS standard of care. 5minsono video here.