Interscalene Brachial Plexus Block

In this video we discuss the technique for ultrasound guided interscalene brachial plexus block, as well as the indications, challenges, and key safety tips relevant to this block procedure

[eugeniosramos]

Amazing video. I'm an incoming anesthesia trainee and will keep coming to these videos. Thanks

[bachraouichiraz]

Is the sheath not an obstacle neither for the L. A to diffuse, in supraclavicular block too?

[tl]

Great video! For proximal humerus fracture, I often miss the incision with ISB block, which block can we add to cover the incision, sir?

[williamtellez]

What are your thoughts on replacing the IBS block with the Superior Trunk Block?

[oliviaolivia]

Why in plane and not out of plane interscalene which doesn’t have a risk of damaging long thoracic and dorsal scapular also easier to insert a catheter ...

[lisaeadesauthorandartist]

I went to get an interscalene block done the other day, but ended up being told I couldn't get it done due to my nerves being too inflamed and it would in turn make it worse 😞
My scalene muscles are fused to the c5, c6, c7 and part of the c8 nerve roots apparently.
Very frustrating.

[angelaclark]

A surgeon has advised me to get an "interscalene block under ultra sound" for diagnostic purposes of pain in my right arm and upper back.
The surgeon wants this block for diagnosing possible neurogenic thoracic outlet syndrome or some other nerve entrapment within my brachial plexus that causes my pain which travels along the dorsal scapular nerve, with burning along the scapular medial border & rhomboids as well as burning on my posterior arm/triceps and then numbness in 4th and 5th fingers.
He is considering a scalenectomy of middle and anterior scalene if the block relieves there pain. Or some other peripheral nerve surgery.
Can you tell me what type of nerve block would include the DSN? I'm concerned that a standard interscalene block will not block the DSN, therefore making this particular block somewhat missing the main suspected pain generator. Please advise what would include the DSN.
Thank you