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Clarius Classroom

POCUS of the Median Nerve

Dr. Brian Johnson

In this video Dr. Johnson demonstrates how to locate the median nerve in the forearm, in advance of an ultrasound-guided nerve block.

Specialties: Emergency Medicine, Pain Management, Regional Anesthesia
Applications: Emergency Medicine, L15, Nerve, PAL Linear, Regional Anesthesia
hello I'm Brian Johnson and today we're going to use the clarus pal to identify the median nerve for a median nerve block and so what you do is you have your Claris pal and on the Claris app you want to be on the nerve setting which has already been set for us um so what you do is you take the probe and you go basically to the mid forearm and the good thing about the median nerve is it's it doesn't run with any vasculature typically and it sits right in the middle of the forearm and what you're seeing right now is the median nerve seeing right in the middle of our screen we can adjust the depth to really get that as big as we can it kind of has a fasal layer below it and it's honeycombed and it has what's called anisotropy so when you rock back and forth the nerve can become darker and lighter and that's characteristic of nerve so that's the median nerve block you know you can do a median nerve block blind but um with an ultrasound improves your accuracy and it minimizes your complications

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