PNBschool

11/20/2025

The

Analgesia Rating: 4.9
Difficulty Rating: 4.1

Ratings are 0-5. O is least analgesic and easiest, 5 is completely analgesic and most difficult.

The popliteal sciatic block is a great block when postoperative motor function doesn’t matter as it’s both a motor and sensory nerve. I often combine it with a femoral block for ACL reconstruction as many patients are locked out on a brace for a day anyways.

Here is a reward for reading this far: The popliteal sciatic is like a sponge. It doesn’t take much local anesthetic to achieve a very effective block 8-10 ml of .5% Rop will provide 24-30 hours of analgesia.

Please share for your followers and community. Thanks for reading. Ask your questions in the comments or DM me.

11/18/2025

I will judge you if you don’t have a chair in the room😳

I think these tips are pretty straightforward. There are certain circumstances that repeat themselves in anesthesia and if you can recognize them ahead of time and adjust accordingly you will be way ahead of the game.

What other tips do you have??? Add them in the comments.

11/17/2025

Want to level up your regional game?
Ultrasound software (not just the machine) is one of the biggest unlocks for becoming a true expert regionalist. One example is FujiFilm SonoSite’s Needle Profiling Software.

Here’s why 👇

🔹 1. Better Image Clarity = Faster Pattern Recognition
Modern imaging software auto-optimizes gain, depth, and contrast…

🔹 2. Needle visualization Enhancement = Safer, Smoother Blocks even at steep angles to target.
Needle visualization software highlights the shaft + tip.
This reduces redirections, improves efficiency, and massively decreases risk.

🔹 3. Consistency Across Cases
Good software gives consistent images even for difficult body types.

🔹 4. Shorter Learning Curve
Better imaging isn’t “cheating.”
It accelerates your learning and builds confidence. Another tool in your toolbox.

⸻

Great regionalists aren’t guessing.
They’re using the best tools to see the anatomy the way it’s meant to be seen.

If you want more content on ultrasound, blocks, and regional anesthesia techniques — follow 💙🩺

11/14/2025

Keep after it. The ACB is be of the most common regional techniques we use. We may as well be experts🤷🏻‍♂️

What other content are you interested in? Let me know in the comments.

11/13/2025

Learn TAP Block technique with us!

Watch, follow, and discover more trending content.

11/12/2025

Watch, follow, and discover more trending content.

11/12/2025

It’s no secret. Needle entry in relation to your transducer can make or break an ultrasound guided nerve block.

This post says it all. Most new regionalists insert the needle right next to the transducer because they really want to “see their needle”.

As you can tell this creates a stealer trajectory to the target which actually make it more difficult to “see your needle”.

Think about needle entry while you perform your initial ultrasound exam. Set yourself up for success.

11/10/2025

The Transverse Abdominis Plane Block

Analgesia Rating: 4.2
Difficulty Rating: 3.8

Ratings are 0-5. O is least analgesic and easiest, 5 is completely analgesic and most difficult.

Yes that’s a pretty high analgesia rating for the TAP Block. You have to keep in mind what the TAP Block targets. It targets somatic pain to the anterior abdominal wall and its delivers very consistently.

There is no visceral pain relief.

The TAP block can certainly be challenging on patients with a large body habitus but overall it is anatomically a low risk block. With a little practice most TAP Blokcs become very routine.

Also keep in mind the TAP block is a fascial plane block. Whenever you hear this you have to remember it is a volume block. The more volume the better but of course watch the max dose of LA.

Thanks for watching. Have a TAP Block tip? Please share in the comments.

11/07/2025

The right way to block the LFCN.

Watch, follow, and discover more trending content.

11/06/2025

“How do I visualize my needle better?”

I have a few go to answers for this question but “Sinking” the edge of the transducer to become more parallel with the needle is a great start.

Think about this before your next block. Work to visualize your needle.

PNBschool has an ebook with concepts to better visualize your needle, let me know if you think this would be helpful.

11/05/2025

20 seconds to learn the PENG Block Ultrasound Anatomy. Watch it, then watch it again!

11/04/2025