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Anaes VivasUltrasound-guided peripheral nerve blocks

Anaes Vivas · Ultrasound-guided peripheral nerve blocks

Data viva — interpreting the ultrasound image during a nerve block

A data viva on interpreting the US image — identifying the nerve (honeycomb), the vessels (anechoic, compressible, pulsatile), the needle (echogenic line), and the spread (hypoechoic, U-shaped around the nerve).

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Target exams

ANZCAFRCAABAEDAIC
Prompt
An ultrasound short-axis view of the popliteal fossa showing the sciatic nerve dividing into the tibial and common peroneal nerves, adjacent to the popliteal artery and vein.

Stimulus

An ultrasound short-axis image of the popliteal fossa. The sciatic nerve is seen dividing into the tibial (the larger, medial) and the common peroneal (the smaller, lateral) branches, lying superficial and lateral to the popliteal artery (pulsatile) and vein (compressible). Describe the interpretation and the injection technique.

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References2ShowHide
  1. [2]Wang ZX, et al. Efficacy of ultrasound and nerve stimulation guidance in peripheral nerve block: A systematic review and meta-analysis. IUBMB Life, 2017.PMID 28714206
  2. [28714207]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.
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PreviousClinical viva — matching the block to the surgeryUltrasound-guided peripheral nerve blocksNextEquipment viva — the ultrasound machine and the regional needleUltrasound-guided peripheral nerve blocks