Department of Anesthesia Roy J. and Lucille A. Carver College of Medicine University of Iowa Health Care University of Iowa
Regional Anesthesia Study Center of Iowa The University of Iowa
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Animal-based Workshop for Hands-on Teaching of Regional Anesthesia: The Living Simulator (continued)

André P. Boezaart, M.D.,Ph.D. Department of Anesthesia, University of Iowa
Brachial Plexus Blocks:

Brachial plexus blocks:

a. The Interscalene approach:

  • Similar principles as adult human
  • The pig does not have a clavicle
  • Sterno-(cleido)-mastoid muscle is small
  • Sternum clear and mastoid clear
  • Emphasis on nerve stimulator assisted catheter placement

The Interscalene block:

Interscalene 1

Interscalene 2

Interscalene 3

Interscalene 4

b. The Axillary approach to the brachial plexus:

  • Exactly the same as humans
  • Feel for axillary artery
  • Identify nerves individually with nerve stimulator
  • First percutaneous and then transcutaneously

Axillary block:

Axillary Block 1

Axillary Block 2

Axillary Block 3

Axillary Block 4

Continue to the Peripheral Blocks>>>