Thank you for a wonderful educational video Dr Ki-Jinn Chin. I have a question- sometimes I cannot appreciate the musculocutaneous nerve between biceps and coracobrachialis. It’s obvious at times and many times it’s not, what can I do in this situation?
(1) Perform a proximal-distal survey scan back and forth, and look to see a structure sliding towards and away from the artery. (2) occasionally it is impossible to find it, though this is rare in my experience. Inject 10ml or so around the median nerve region, and that should spread to the MCN, as they are often in same compartment. Test the area of interest, e.g. the LACN territory to see if it has been blocked. If not, you can rescue using a LACN block at the antecubital region (see my other video)
00:16 - Typical nerve location
01:07 - Pattern recognition exercises
03:13 - Eg. of unusual plexus anatomy
04:26 - ID of nerves using the "traceback" approach
05:28 - Video - the "traceback" approach
07:04 - Single-pass IP needling technique
07:32 - Video - single-pass IP needling technique
08:43 - OOP axillary block technique
11:28 - Video 1 - OOP axillary block
13:54 - Video 2 - OOP axillary block
i am 65 years old anesthesist and I hope with your lecture I do better RA the last 2 years, thank you very much
Such a great job. The most complete lectures i’ve seen through youtube. Please, keep doing with other PNB. Appreciated so much
Excellent coverage of this block Professor --Thank-you
I performed two axilliary BPB using your tips
Thank you, Sir
You are really awesome!
Love it love it thank you so much Dr. Chin
Excellent. Excellent Excellent
Thank you for a wonderful educational video Dr Ki-Jinn Chin.
I have a question- sometimes I cannot appreciate the musculocutaneous nerve between biceps and coracobrachialis.
It’s obvious at times and many times it’s not, what can I do in this situation?
(1) Perform a proximal-distal survey scan back and forth, and look to see a structure sliding towards and away from the artery. (2) occasionally it is impossible to find it, though this is rare in my experience. Inject 10ml or so around the median nerve region, and that should spread to the MCN, as they are often in same compartment. Test the area of interest, e.g. the LACN territory to see if it has been blocked. If not, you can rescue using a LACN block at the antecubital region (see my other video)
Thank you so much for your reply! Much appreciated.
Do You ever use dexamethasone or dexmedetomidine to increase block duration?