In this "Blockjocks" video from the Andrews Institute, Dr. Brandon Winchester demonstrates an ultrasound-guided axillary brachial plexus nerve block for a distal biceps tendon repair and carpal tunnel repair. Video highlights include:
- arm and probe positioning for needle insertion (0:40)
- technique for differentiating veins from arteries on ultrasound (2:18)
- identifying target nerves (3:25)
- targeting nerves: musculocutaneous (5:40), radial (7:10), median (8:29), ulnar (9:29)
Dr. Winchester used a nearly exclusively ultrasound-guided approach for this block; instead of nerve stimulation he relied on the ultrasound visualization of the nerves. He used a technique that combined the targeting of individual nerves with encircling the musculocutaneous nerve and the axillary artery.