Cervical Nerve Root Blocks

The cervical root-level blocks encompass many similar blocks: traditional interscalene, cervical paravertebral, and posterior approach to the interscalene. Regardless of the name, each approach brings the block needle into close approximation with the cervical nerve roots. We teach the use of large, blunt-tipped needles (Touhy) for the placement of these blocks in order to decrease the risk of dural puncture and intraneural injection.

Cervical Paravertebral Nerve Block

• CCPVB Tutorial by Dr. Andre Boezaart, RA Education
• CCVPB Video by Dr. Andre Boezaart, RA Education (video below):

Interscalene Approach to the Brachial Plexus

• Continuous ISB Tutorial by Andre Boezaart MD PhD, RA Education (PDF)
• Video of Single Injection Interscalene by Andre Boezaart MD PhD, RA Education (video below):

• You may also want to review the approaches listed below:

• Interscalene Block from Ultrasound for Regional Anesthesia
• Stimulator-Guided and Ultrasound-Guided Interscalene Block from NYSORA
• Interscalene Approach to the Brachial Plexus by Neuraxiom