Interscalene Block for Cadaver Lab
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Transcript of Interscalene Block for Cadaver Lab
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Cadaver Lab Module 1: Interscalene Block
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Clavicle
Pectoralis major
Neck
Head
Anterior deltoid
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Reflected pectoralismajor
Pectoralisminor
Clavicle
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Fingers rolling into the interscalene groove (ISG)
Clavicular head of SCM
Sternal head of sternocleidomastoidmuscle (SCM)
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Mobilized clavicle
Anterior scalene muscle
Brachial plexus in sheath
Middle scalene muscle
Omohyoid muscle (inferior)
Is there a brachial plexus sheath?A picture is worth a thousand words!
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Brachial plexus with sheath removed
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Mobilized clavicle
Brachial plexus trunks1. Superior trunk2. Middle truck3. Inferior trunk
Omohyoid muscle (inferior)
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Ultrasound-guided nerve blocks in fresh frozen cadavers
Interscalene block – scanning IS groove
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In-plane needle advancing under superior trunk at level of ISG
Superior trunkMiddle trunk
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Nerve roots
needle
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Nerve roots
needle
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Interscalene catheter placement