How to Perform Ultrasound-Guided Interscalene Nerve Blocks

By Arun Nagdev, MD; Graham Becherer-Bailey, DO; Rob Farrow, DO; and Daniel Mantuani, MD, MPH | on April 14, 2020 | 1 Comment

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Conclusion

The ultrasound-guided ISNB is an ideal tool for emergency providers when treating patients with acute upper-extremity injuries. The two simple tips can help improve block success. Having an alternative technique to locate the interscalane brachial plexus and having a defined safe target (the prevertebral fascia) that is far away from the nerve roots can help circumvent problems that we notice in our learners. We hope that these small adjustments will help make the ultrasound-guided ISNB an important tool in your clinical practice and part of your multimodal strategy for pain management. 

Dr. Nagdev is director of emergency ultrasound at Highland General Hospital, Alameda Health System in Oakland, California.

Dr. Becherer-Bailey and Dr. Farrow Care ultrasound fellows at Highland General Hospital.

Dr. Mantuani is ultrasound fellowship director at Highland General Hospital.

References

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