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No More Empty Beds - Outpatient Surgery Magazine - February 2020

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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3 8 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • F E B R U A R Y 2 0 2 0 If every anesthesia practition- er knew how to perform these five basic block techniques with ultrasound guidance, there would be a massive increase in patient access to regional anesthesia. Each of these blocks represents a transferable skill, and practi- tioners may choose to substi- tute a block on the list with an alternative block used for a similar indication. 1. Interscalene brachial plexus. Everyone should be able to offer a block for shoulder surgery, and the interscalene block is still the gold standard. Other ultrasound-aided blocks have been developed in the last few years, but a basic interscalene block is something any anesthesiologist should be comfortable placing. It has a long track record and it covers the entire site of pain for every shoulder procedure, including total shoulder replace- ments. 2. Infraclavicular brachial plexus. This block is good for patients undergoing distal upper-limb surgery at the elbow, wrist or hand. Some practitioners prefer to use an axillary brachial plexus block, which may work just as well. For these surgeries, you need a block of the brachial plexus below the clavicle close to the shoulder. If you know how to do one of these two types of • LET'S TALK Barriers to more widespread use of regional anesthesia will be cleared through the constant sharing of best practices. ESSENTIAL SKILLS 5 Blocks Every Anesthesia Provider Should Know

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