UGRAadv

3 – Colour Doppler mode

Colour Doppler mode can be very useful to identify blood vessels surrounding deeply located target nerves

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Colour Doppler signal from the inferior gluteal artery (red spot) when doing a parasacral parallel shift approach to the sacral plexus (red arrow)
L = left, M = medial

1 – Indications for the superficial cervical plexus block

Superficial cervical plexus block is indicated for head and neck analgesia:

– Central venous cannulation

– Anterior neck surgery

– Thyroid surgery

– Shoulder surgery “cape of anaesthesia”

– Carotid endarterectomy (CEA) – the carotid artery is innervated by the vagus and glossopharyngeal nerves as well as sympathetic branches from the superior cervical ganglion which requires local anaesthetic injected in the carotid sinus region for surgical anaesthesia

– Clavicular fracture – combine superficial cervical plexus and brachial plexus blocks

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The superficial cervical plexus where it emerges from the lateral margin of the sternocleidomastoid muscle.

1 – Learning objective

The learning objective of the advanced ultrasound guided regional anaesthesia program is to obtain in-depth sonoanatomical theoretical knowledge about the selected advanced nerve blocks.

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1 – Probes

Basic UGRA can be performed solely with a high-frequency linear probe

Advanced UGRA requires high-frequency linear as well as low-frequency curved array probes

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Advanced UGRA mandates a low-frequency curved array probe for various blocks