Ultrasound-guided Ankle Block

All 5 nerves innervating the foot can be blocked with ultrasound guidance - effectively, simply, and safely. This video demonstrates how to perform one of my favorite blocks. Complement this with a nice review article by Delbos et al at www.sciencedire...

[@KiJinnChin]

00:07 - Indications / Advantages / Limitations 01:35 - Overview of the 5 nerves 02:12 - Preparation for the block 03:45 - Positioning the patient 04:40 - (1) TIBIAL nerve block 07:42 - Video - Tibial nerve block 08:34 - Challenging anatomy - Tibial nerve block 09:53 - (2) SAPHENOUS nerve block 10:45 - Video - Saphenous nerve block 11:31 - Challenging anatomy - Saphenous nerve block 12:13 - (3) DEEP PERONEAL nerve block 14:17 - Video - Deep peroneal nerve 15:08 - Challenging anatomy - Deep peroneal nerve 15:38 - (4) SUPERFICIAL PERONEAL nerve block 17:57 - Video - Superficial peroneal nerve block 18:56 - Challenging anatomy - Superficial peroneal nerve block 19:13 - (5) SURAL nerve block 20:43 - Video - Sural nerve block 21:30 - Challenging anatomy - Sural nerve block

[@liamcarroll6481]

This series of USound guides are absolute gold. I am a GP and i work in remote Australia 1 week a month in ED. I am it essentially and these videos have been a life saver....thank you very much. Must have taken a lot of work to put these together. You are a champion...Liam

[@KiJinnChin]

Hi Liam - thanks so much for taking the time to write. I am in awe of people like you who are so incredibly versatile and resourceful. Glad to be of some help. If there are other scenarios / topics that you are looking for answers to, please let me know, and if I have anything to offer, I will do my best to provide it. Cheers!

[@asherkaz]

I started using U/S guidance for ankle blocks this year with the help of David Ayuong and Stuart Grant's USGRA book, but your video took it to the supreme level. Again, many thanks from North Dakota!

[@lukaskreienbuehl3391]

Great teaching! Much better than the rest that's available on this channel.

[@heathscheibmeir8011]

I’ve watched a number of your vids over the years, thanks so much for sharing your knowledge and techniques! This is particularly applicable to my new position as sole anesthesia provider at a podiatry ASC, and armed with this knowledge and a new handheld ultrasound I hope to do you proud 😉

[@KiJinnChin]

That's wonderful to hear! Good luck, and I'm sure you'll have lots of appreciative patients!

[@edwardgomm4853]

Great video,especially tips for the oedematous patient (often make me want to give up1!). But, particularly enjoyed the dedication to TA who started me on my regional learning curve

[@IanReillyPodsurgeon]

Ankle TQ works out just fine too with an ankle block. Great vid btw.

[@jimmy7276]

Very well.organized awesome lecture. Thank you so much

[@drfranklin5638]

Excellent rendition!

[@jianhongshen797]

GREAT PRESENTATION! THANK YOU VERY MUCH SIR!

[@federicodurante3338]

Great video!!! Thank you!

[@jakub379]

great videos , very educative! does it work in edema, as tissue is acidotic? thank you

[@KiJinnChin]

Yes, it works very well, and US is particularly helpful for locating the nerves, which will be a lot deeper than expected, especially the subcutaneous ones. See the "Difficult Ankle" examples in the video.

[@ozolive]

we do not perform theses blocks at the ankle anymore. a little bit proximally in the leg is more comfortable and one skin puncture for superficial and deep peroneal nerve

[@KiJinnChin]

Hi Olivier! Thanks for sharing - I will have a look to see, and give it a try.

[@mj-uy8sd]

Olivier, can you explain this more deeply, can you give the link to a video sounds very interessant, J Merk

[@heathscheibmeir8011]

I too would love more info about this technique-got a vid or link you can direct us to?

[@ozolive]

done yet sorry for the delay - big hugs from France :

[@ozolive]

kzbin.info/www/bejne/rXnVlouvhNySl7c

[@uramalakia]

Are you familiar with the so called MAYO block?

[@KiJinnChin]

I hadn't heard of it until now. Thanks for sharing! Looks interesting as a LMG technique. At present, I don't think that it will replace my current USG technique which I have personally evolved to the point of optimal safety and efficacy. Which illustrates the point that everyone should consider what works best for them in their setting, and in their hands.

[@firelight3912]

AS USSUAL THE TOP .