Atlas of Sonoanatomy for Regional Anesthesia and Pain Medicine

Manoj Karmakar, MD (Sha Tin, Hong Kong) Associate Professor, Director of Pediatric Anesthesia; President Elect, Asian Society of Paediatric Anaesthesiologists, Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Prince of Wales Hospital.

Section I. Neck and Upper Extremity
1.Exit foramen of the cervical nerve roots
2.Interscalene groove
3.Stellate ganglion block anatomy – right and left
4.Supraclavicular Fossa
5.Infraclavicular Fossa below the Mid-clavicular point
6.Infraclavicular Fossa Para-coracoid process
7.Axilla
8.Mid-humeral
9.Arm posterior and lateral aspect for Radial nerve
10.Elbow – Anterior
11.Elbow – Posterior for Ulnar nerve
12.Mid-forearm Scan (Anterior Aspect) for Median, Ulnar and Radial nerves
13.Panoramic scan of forearm (mid-forearm)
14.Panoramic scan of the Arm (middle of arm)
15.Panoramic scan of the mid-forearm
16.Panoramic scan of the Arm (mid-arm)

Section II. Lumbar Paravertebral Region
17.Lumbar Paravertebral Region - Right
18.Lumbar Paravertebral Region – Left

Section III. Lower Extremity with volunteer in the Left Lateral Position
19.Gluteal Region: Sciatic nerve in the para-sacral area
20.Gluteal Region: Sciatic nerve in the subgluteal space

Chapter IV. Lower Extremity with volunteer in the Prone Position
21.Sciatic Nerve in the Infragluteal region
22.Sciatic Nerve in the mid-thigh posteriorly
23.Sciatic Nerve in the apex of the popliteal fossa
24.Sciatic Nerve in the popliteal fossa

Section V. Lower Extremity with volunteer in the Supine Position
25.Groin t the level of the inguinal ligament – femoral nerve, vein and artery
26.Groin at the lateral aspect of the inguinal ligament for the Lateral femoral cutaneous nerve
27. Groin on the medial aspect of the thigh for the Obturator nerve
28.Mid-thigh scan at the level of the adductor canal
29.Ankle scan – Medial aspect for the posterior tibial nerve and saphenous nerve
30.Ankle scan – Lateral aspect for the sural nerve
31.Ankle scan – Anterior aspect for the deep peroneal nerve and superficial peroneal nerve

Section VI. Sacral Spine
32.Sacral Hiatus
33.Dorsal surface of the sacrum
34.L5Si Gap – lumbosacral junction

Section VII. Lumbar Spine
35.Lumbar Spine Transverse Scan (L345) – Spinous Process view
36.Lumbar Spine Transverse Scan (L345) – Interspinous Process view
37.Lumbar Spine Median Sagittal Scan (L345) – Spinous process view
38.Lumbar Spine Paramedian Sagittal Scan (L345) – Lamina view
39.Lumbar Spine Paramedian oblique sagittal Scan (L345) – Lamina view
40.Lumbar Spine Paramedian Sagittal Scan (L345) – Transverse process view

Section VIII. Thoracic Spine
41.Upper Thoracic Spine (T1-T4 level)
42.Mid-thoracic Spine (T5-T8)
43.Lower Thoracic Spine (T9-T12)

Section IX. Trunk and Abdomen
44.Thoracic Paravertebral Anatomy
45.Intercostal Space
46.Diaphragmatic excursion M-mode scan: Right Trans-hepatic view
47.Sub-costal Transverse abdominis plane
48.Transverse abdominis plane
49.Ilioinguinal Iliohypogastric nerve
50.Rectus Abdominis muscle scan (Supra-umbilical)
51.Rectus Abdominis muscle scan (Infra-umbilical)