Upper limb
General overview:
Anatomy; important topographical anatomical relations in the region of the brachial plexus; motor and sensory supply of the upper limb
Interscalene techniques of brachial plexus block:
Anatomy; historical overview; Meier technique; dorsal technique (Pippa technique) ; sensory and motor effects; indications, contraindications; supraclavicular nerve block (cervical plexus); complications, side effects, method-specific problems
Infraclavicular techniques of brachial plexus block:
Anatomical basis; vertical infraclavicular block (VIB) according to Kilka, Geiger and Mehrkens; Raj technique, modified by Borgeat; sensory and motor effects; indications, contraindications; complications, side effects, method-specific problems
Suprascapular nerve block:
Anatomical basis; Meier technique; sensory and motor effects; indications, contraindications; complications, side effects, method-specific problems
Axillary block:
Anatomical basis; perivascular “single-injection“ technique; sensory and motor effects; indications and contraindications; complications, side effects, method-specific problems; multistimulation technique, “mid-humeral approach“ according to Dupré
Selective block of individual nerves in the upper arm, at the elbow and wrist:
Radial nerve block (middle of upper arm); blocks at the elbow; blocks at the wrist (hand block)
Lower limb
General overview:
Lumbosacral plexus; sensory innervation of the leg
Psoas compartment block:
Anatomical overview; technique of psoas compartment block; sensory and motor effects; indications, contraindications; complications, side effects, method-specific problems; remarks; summary
Inguinal perivascular lumbar plexus anaesthesia
(“3-in-1 technique“ according to Winnie, femoral nerve block):
Anatomical overview; femoral nerve block (“3-in-1 technique“); sensory and motor effects; indications, contraindications; complications, side effects, method-specific problems; remarks
Proximal sciatic nerve block:
Anatomical overview; anterior proximal sciatic nerve block (with patient in supine position); dorso-dorsal (proximal) sciatic nerve block (Raj technique), (in supine position); proximal lateral sciatic nerve block (with patient in supine position); proximal sciatic nerve block (with patient lying on his side); parasacral sciatic nerve block (Mansour technique)
Blocks at the knee:
Anatomical overview; classical popliteal block, dorsal approach; distal block of the sciatic nerve
Peripheral block (conduction block) of individual nerves of the lower limb:
Lateral cutaneous nerve of the thigh block; infiltration of the iliac crest; obturator nerve block; saphenous nerve block; peroneal nerve block
Peripheral nerve blocks at the ankle:
Anatomical overview; saphenous nerve, sural nerve and superficial peroneal nerve block; deep peroneal nerve block; (posterior) tibial nerve block; foot block; indications, contraindications, complications, side effects; remarks on combined block (foot block); summary; blocks at the toes
Aspects of peripheral nerve blocks of the limbs
Special features of peripheral regional blocks:
Advantages of peripheral nerve blocks; problems of peripheral regional blocks
Complications and general contraindications of peripheral blocks:
General principles for performing peripheral blocks:
Hygiene requirements for performing peripheral nerve blocks; general principles of informed consent, positioning and monitoring; technical aids for performing peripheral nerve blocks; general principles for placement of regional anaesthesia; analgosedation; general principles for administration of local anaesthetics in peripheral nerve blocks
Continuous peripheral nerve blocks |