BCPoCUS - BC Point of Care Ultrasound

BC Point of Care Ultrasound

Your go-to resource for point-of-care ultrasound rapid summaries and videos.

Median Nerve Block

Rapid Summary
5 Minute Video

Amount of anesthetic:

• ~5cc 1-2% lidocaine
• Lidocaine max dose: 4-5mg/kg

Use sterile/semi-sterile technique.

Where you put the probe and needle:

median nerve out of plane

• Start at the wrist crease. The median nerve will be difficult to distinguish from tendons
• Slide proximal 10-20cm. Tendons will flatten and median nerve will become more evident
• Be mindful of the location of other neuro/vascular structures

median

• Needle and anesthetic placement alongside median nerve

Dorsum 2

• Median nerve distribution in red

Palm nerve

Where you put the probe and needle:

median nerve out of plane

• Start at the wrist crease. The median nerve will be difficult to distinguish from tendons.
• Slide proximal 10-20cm. Tendons will flatten and median nerve will become more evident.
• Be mindful of the location of other neuro/vascular structures.

median

• Needle and anesthetic placement alongside median nerve.

Dorsum 2

• Median nerve distribution in red.

Palm nerve