Endoneurium

Epineurium
Connective tissue/perineurium
180 Plus
-<8lbs
-Drop tested
-Ease of switching probes
-Color Doppler
-Memory: flash memory cards
-Probes: 3 total
Titan,
MicroMaxx,
S-Nerve and Turbo
High Quality Images
Difficult to switch betw probes
Windows based hard drive
12 MHz
10 MHz
Lower Frequency
Deep Penetration
Wider but distortion
Eg. Sciatic
Higher Frequency
Superficial
Narrower field
In-Plane- correct for most blocks Tip not visualized
Out of Plane:
-Good for vascular access or
catheter placement
-Tip of needle challenging.
-45deg method:
-measure skin-nerve dist
-entry pt same dist.
-reach nerve at 45 deg.
Sliding
Rotating
Tilting
Ultrasound Simulation
Training
SCB:
ASM
MSM
SCM
UT
MT
LT
Needle
Medial
Lateral
IJ
CA
Sub
Art
1
st
rib
Lung
Anterior/Medial Posterior/Lateral
Trap
needle
Pect Major
Pect Minor
Ax
Vein
Ax
Art
Anterior/Medial
Post/Lateral
5-10ml
10-15ml
10-15ml
-MCN lies in fascial plane
betw CB heads.
-oval, round, eliptical,
then triangular
TP
needle
QL
L3
Iliacus
Fascia Lata
Fascia Iliacus
needle
Pectineus
CP Tib
BF
SM
PA
Posterior
Medial
Anterior