Ultrasound-Guided Regional Anesthesia
Build a systematic approach to identifying sonoanatomy, selecting an appropriate block, and executing ultrasound-guided needle placement for common peripheral nerve and fascial plane blocks.
What this track covers
This track covers ultrasound-guided regional anesthesia across upper extremity, lower extremity, and truncal fascial plane blocks, with emphasis on sonoanatomy recognition and needle trajectory planning. It addresses block selection based on surgical site, patient factors, and anticoagulation status, along with recognizing and managing complications such as local anesthetic systemic toxicity and nerve injury.
What you will practice
- Identify key nerve, vascular, and fascial landmarks on ultrasound for common block sites
- Choose an in-plane vs out-of-plane needle approach for a given target
- Select a block based on surgical site and patient comorbidities
- Recognize signs of local anesthetic systemic toxicity and outline an immediate response
- Decide when a block is contraindicated due to anticoagulation or infection risk
Simulator scenario
A timed simulator case where the virtual patient presents for shoulder surgery and the clinician must select an appropriate block, talk through sonoanatomy identification, and respond to an evolving concern for local anesthetic systemic toxicity.
Board question topics
- Sonoanatomy identification for upper and lower extremity blocks
- In-plane vs out-of-plane needle technique selection
- Recognition and management of local anesthetic systemic toxicity
- Anticoagulation and neuraxial or peripheral block contraindications
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