Forearm & Motor-sparing Wrist Blocks (Distal Upper Limb Blocks - Part 3 of 3)

[@svanhooreweghe]

Dear doctor Ki-Jinn, in the conclusion of your motorsparing distal nerve blocks, you explain a posterolateral sc infiltration for a SRN, LACN, MACN and PACN block, but the box in the figure also shows a volar infiltration. Is this volar infiltration necessary for e.g. a carpal tunnel release, or can we even for this volar sx stick to the posterolateral sc infiltration? Thank you. Stefan

[@KiJinnChin]

Hi Stefan, thanks for the very clear and pertinent question. Apologies for any confusion, and I appreciate the opportunity to clarify. For carpal tunnel release surgery specifically, I would do a median nerve + ulnar nerve + LACN block. See here - kzbin.info/www/bejne/eWiVaYqPo5yXfbc Based on my accumulated experience, I can say that the LACN lies superficial and close to the radial artery - so in this respect, a "blind" SC infiltration to target the LACN should extend into the region just lateral to the radial artery to be sure of blocking it. So just slightly onto the volar aspect - but you do not have to go further out onto the volar surface than that. Since the publication of the video aboce, I have discovered that the LACN and the SRN are now very easily identified by looking for the brachioradialis muscle - they have a very consistent relationship superficial and deep to it. This is now what I teach all my trainees and colleagues. See here - kzbin.info/www/bejne/h5nEemtqh7p3hKM and here - kzbin.info/www/bejne/n2emhnmJlrqSrKs

[@svanhooreweghe]

Genious. Thank you very much.

[@upmabatra3611]

Thanks sir. Very comprehensive series explaining all the details.

[@oscarcastanares8850]

Excellent class Thank you teacher for teaching us so much

[@KiJinnChin]

00:24 - Overview 01:07 - Mid-forearm Median Nerve Block 03:24 - Mid-forearm Ulnar Nerve Block 06:21 - Superficial Radial Nerve Block 09:45 - Motor-sparing surgical anesthesia of the hand 11:10 - Block strategy for motor-sparing anesthesia

[@drdivesh1]

Very informative.. I keep waiting for videos from your channel..

[@JUSSTTIINFU3K]

Thanks!

[@omar-iv9xi]

Thanks a lot

[@selios72]

Thanks !!!!

[@hamzahussein8174]

Thanks sir, very very informative. Waiting for more!!