Regional Blocks

Upper Limb

Torso and Pelvis

Lower Limb

Head and Neck

Neuraxial

Serratus Anterior Block

Transversus Abdominus Plane

Indications

Contraindications

Landmarks & Technique

Advantages / Disadvantages

Pearls

Thoracic Epidural

Paravertebral Block

Indications

Contraindications

Landmarks

Technique

Pearls

Ilioinguinal Block

Indications

Contraindications

Landmarks

Technique

Pearls

Template

Indications

Contraindications

Landmarks

Technique

Pearls

Not neuraxial

No sympathetic block

Reduced risk of pneumothorax

Doesn't require change in anticoagulation

Rib Fractures

20ml covers 9 levels

Neuraxial Opioids

ASIS
medial and superior slightly

Use blunt needle to "pop" through EO and IO fascial layers until between IO and TA layers. Inject there using lower volume than TAPs

Same plane as TAP but targeted lower down
Sometimes need to get genitofemoral for inguinal hernia or scrotal surgery

Hernia repair
Inguinal procedures
Abdominal wall only

Indications

Contraindications

Landmarks

Technique

Pearls

Midway between ASIS and subcostal border
Inline with umbilicus

Targets T8-L1

Subcostal TAP targets T6-T10

Requires large volume each side