1-Minute Cervical Medial Branch Block

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Equipment

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Create a Pointer

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Draw up meds

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Prep Needle

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Prone for Lateral. Supine for Bilat.

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Obtain a good lateral view

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Place needle "down the barrel"

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Repeat for each level

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Check an AP

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4 level CMBB

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Cervical Medial Branch Block

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1-Minute Cervical Medial Branch Block

Equipment

Create a Pointer

Use the longest option that you have, here a 20cc syringe and needle are used (cap on to prevent pokes).

Draw up meds

Draw up 4cc local anesthetic in a 5cc syringe.

Prep Needle

Use desired technique. Here, a straight 25g hypodermic needle.

Prone for Lateral. Supine for Bilat.

Either position works. See detailed tips since cervical imaging is tricky.

Obtain a good lateral view

Line up lateral masses. See detailed guide for more specifics. Targets in red.

Place needle "down the barrel"

Straight down to each target. Several needles shown here, but you can also just redirect 1 needle to each target.

Repeat for each level

Either place another needle or redirect one needle to each level.

Check an AP

Check an AP at any levels, if needed, to confirm depth

4 level CMBB

2 minute procedure time. Nice job!

Cervical Medial Branch Block

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