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This module includes procedural tasks and clinical cases for the training of ultrasound-guided brachial plexus nerve block. Trainees will be able to practice 3 different techniques – interscalene, supraclavicular and infraclavicular. The procedural tasks include step-by-step guided scenarios of the different approaches with various anatomies, needle positioning, diameter and depth. The simulated steps include ultrasound evaluation, ultrasound-guided needle insertion and verification. The clinical case scenarios enable deliberate training of shoulder surgery, acute brachial ischemia, elbow fracture with pain management in the recovery room and more.

Learning Objectives:

  • To perform an ultrasound-guided cervical nerve block
  • To practice evaluating the brachial plexus and surrounding vessels using ultrasound and to select a puncture site
  • To develop proficiency and confidence in using both in-plane and out-of-plane ultrasound guidance for eye-hand coordination
  • To practice needle puncture techniques in different anatomical variations
  • To demonstrate competency in performing a nerve block procedure, including selecting a puncture site, injecting local anesthetic, and verifying successful blockage


Pain Medicine, Emergency Medicine, Anesthesiology, Orthopedic Surgery, Critical Care

Nerve Block Introduction

Nerve Block Video
Interscalene Nerve Block Interscalene Block
Supraclavicular Block Supraclavicular Block
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