Term
| 4 Approaches for blocking the brachial plexus |
|
Definition
*Interscalene
*Supraclavicular
*Infraclavicular
*Axillary |
|
|
Term
| 5 Techniques for identifying the brachial plexus |
|
Definition
*Loss of resistance
*transarterial
*Paresthesia
*Nerve stimulator
*Ultra-sound |
|
|
Term
| The brachial plexus is formed by_______ |
|
Definition
| The anterior rami of C5 through T1 |
|
|
Term
| what supplies sensory innervation to the skin over the shoulder? |
|
Definition
| descending branches of the cervical plexus, which is comprised of nerve roots of C2-C4 |
|
|
Term
| What supplies sensory innervation to the skin over the posterior-medial aspect of the arm almost to the elbow? |
|
Definition
| the intercostal brachial nerve, which is a branch of T2 |
|
|
Term
|
Definition
| when there is a contribution to the brachial plexus from C4 |
|
|
Term
|
Definition
| when there is a contribution to the brachial plexus from T2 |
|
|
Term
| from proximal to distal, what are the segmental divisions of the brachial plexus? |
|
Definition
*Roots
*Trunks
*Divisions
*Cords
*Branches (divisions) |
|
|
Term
|
Definition
| attached to the anterior turbercles of the transverse processes of C3-C6 and insert on the first rib |
|
|
Term
|
Definition
| is attached to the posterior tubercles of the transverse processes of C2-C7 and insert on the first rib |
|
|
Term
| 3 Trunks formed by individual nerve roots |
|
Definition
*Superior (C5-C6)
*Middle (C7)
*Inferior (C8-T1) |
|
|
Term
|
Definition
| formed by the union of C5 & C6 |
|
|
Term
|
Definition
|
|
Term
|
Definition
| Formed by the union of C8 & T1 |
|
|
Term
| At what point does the brachial plexus become a neurovascular bundle? |
|
Definition
| at the level of the trunks as the subclavian artery joins the plexus. At this level the plexus passes under the clavicle and over the first rib |
|
|
Term
| Divisions of the brachial plexus are divided into two major groups, they are: |
|
Definition
* Anterior divisions
*Posterior Divisions |
|
|
Term
| Anterior Divisions of the brachial plexus |
|
Definition
*3 of each
*innervate anterior aspect of the arm
*associated with flexor/volar surface of the arm |
|
|
Term
| Posterior Divisions of the brachial plexus |
|
Definition
*3 of each
*innervate posterior aspect of the arm
*associated with extensor/dorsal surface of the arm |
|
|
Term
| Cords of the brachial plexus are named according to their position relative to: |
|
Definition
| the axillary/brachial artery |
|
|
Term
| The 2 nerves given off by the Lateral Cord |
|
Definition
|
|
Term
| The two nerves given off of the Medial Cord |
|
Definition
|
|
Term
| The two nerves given off of the posterior cord |
|
Definition
|
|
Term
| Medial nerve originates from |
|
Definition
|
|
Term
| Radial Nerve originates from |
|
Definition
|
|
Term
| Ulnar nerve orginates from |
|
Definition
|
|
Term
| Musculocutaneous nerve originates from |
|
Definition
*Lateral cord
*C4, C5, C6, & C7 |
|
|
Term
| Axillary nerve originates from |
|
Definition
|
|
Term
| Medial Antebrachial Cutaneous nerve originates from |
|
Definition
|
|
Term
| Medial brachialcutaneous nerve originates from |
|
Definition
*medial cord
*C8, T1, & T2 |
|
|
Term
| What is the intercostolbrachial nerve's position relative to the brachial plexus? |
|
Definition
| it lies outside of the plexus and was NEVER inside of it |
|
|
Term
| What does the intercostobrachial nerve innervate? |
|
Definition
|
|
Term
| What is the medial brachial cutaneous nerve's position relative to the brachial plexus? |
|
Definition
| It is usually outside of the plexus at the level of the axilla |
|
|
Term
| What does the medial brachial cutaneous nerve innervate? |
|
Definition
| the lower-upper-inner arm |
|
|
Term
| what two portions of the upper extremity are not innervated by the brachial plexus? |
|
Definition
*skin over the shoulder (axillary nerve)
*inner aspect of the upper arm and axilla (intercostobrachial nerve) |
|
|
Term
| Which nerves of the upper extremity are NOT in the brachial plexus sheath at the level of the axilla? |
|
Definition
*Musculocutaneous
*Axillary
*Intercostobrachial
Medial brachial cutaneous |
|
|
Term
| When you block the brachial plexus, where are you injecting local anesthetic? |
|
Definition
|
|
Term
| Local anesthetics and concentrations for brachial plexus anesthesia |
|
Definition
*Procaine 2%
*Chloroprocaine 2-3%
*Lidocaine 1%
*Mepivacaine 1-1.5%
*Bupivacaine 0.5% |
|
|
Term
| At what level does the subclavian vein join the brachial plexus? |
|
Definition
|
|
Term
| What are the smallest parts of the brachial plexus? |
|
Definition
|
|
Term
| If a patient experiences hoarseness after or during brachial plexus anesthesia, what may have happened? |
|
Definition
| came in contact with the vagus nerve |
|
|
Term
| What nerves need to be blocked to block tourniquet pain? |
|
Definition
*intercostobrachial
*medial brachial cutaneous |
|
|
Term
| According to DeJong, what is an adequate amount of local anesthetic volume to block the brachial plexus? |
|
Definition
|
|
Term
| Motor function of the axillary nerve |
|
Definition
|
|
Term
| Motor function of the musculocutaneous nerve |
|
Definition
|
|
Term
| Motor function of the radial nerve |
|
Definition
| elbow, wrist, and finger extension |
|
|
Term
| motor function of the median nerve |
|
Definition
| wrist and finger extension |
|
|
Term
| Motor function of the Ulnar nerve |
|
Definition
|
|
Term
| PUSH assesses what with brachial plexus anesthesia? |
|
Definition
|
|
Term
| PULL assesses what with brachial plexus anesthesia? |
|
Definition
|
|
Term
| PINCHing the hypothenar area assesses what related to brachial plexus anesthesia? |
|
Definition
|
|
Term
| PINCHing the thenar area, assesses what related to brachial plexus anesthesia? |
|
Definition
|
|
Term
| How long after injecting should you wait to evaluate your brachial plexus block? |
|
Definition
|
|
Term
| How will a brachial plexus block spread? |
|
Definition
| *proximal to distal *mantle to core *motor then sensory |
|
|
