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Anaesthesiology

Neuraxial Regional Anesthesia Ultrasound Guidance for Spinal and Epidural Blocks

Built from Practical Ultrasound in Anesthesia

What’s inside

8 sections · 50 slides

  1. 01

    Overview

    • Overview

    1 slide

  2. 02

    Introduction

    What neuraxial blockade is, and the two ways ultrasound can help

    • Neuraxial blockade
    • When landmarks are unreliable
    • Two ways ultrasound assists
    • Preprocedural versus real-time

    4 slides

  3. 03

    Anatomy of the lumbar spine

    The bones, spaces, and the sonographic landmarks

    • Parts of a lumbar vertebra
    • Lumbar vertebra: anatomical parts
    • Bony windows for the ultrasound beam
    • Interlaminar and interspinous spaces (posterior view)
    • Adjacent lumbar vertebrae (lateral view)
    • Sonographic landmarks in the canal

    6 slides

  4. 04

    Sonographic views

    Three parasagittal and two transverse windows

    • Setting up to scan
    • 2–5 MHz
    • The five sonographic views
    • Parasagittal scanning planes (positions A, B, C)
    • Transverse scanning planes (positions A and B)
    • Probe position for the parasagittal view
    • Parasagittal transverse process view
    • Parasagittal articular process view
    • Parasagittal articular process view
    • Parasagittal oblique interlaminar view
    • Parasagittal oblique interlaminar view
    • Transverse spinous process view
    • Transverse spinous process view
    • Transverse interspinous view
    • Transverse interspinous view

    15 slides

  5. 05

    Preprocedural scanning

    A consistent step-by-step method, its benefits, and its limits

    • A consistent step-by-step approach
    • Marking the skin
    • The needle entry point
    • Advantages of preprocedural scanning
    • Choosing the approach
    • Limitations of preprocedural scanning
    • Challenging situations

    7 slides

  6. 06

    Thoracic spine

    How mid-thoracic vertebrae differ, and how to count levels

    • Thoracic spine scanning
    • Thoracic vertebra with probe positions
    • Thoracic parasagittal oblique view
    • Thoracic transverse view
    • Using the 12th rib to count

    5 slides

  7. 07

    Real-time guidance and innovations

    Live needle tracking, 3D/4D imaging, and AI

    • Why real-time guidance
    • Challenges of real-time guidance
    • Innovations: 3D and 4D imaging
    • Innovations: AI and machine learning

    4 slides

  8. 08

    Takeaways

    What the evidence shows, and why routine scanning matters

    • Clinical benefits
    • Safety benefits
    • “
    • Landmark versus ultrasound
    • References
    • References (continued)
    • References (continued)
    • Practical Ultrasound in Anesthesia for Critical Care and Pain Management

    8 slides