Sciatic nerve block via the classic transgluteal Labat approach, demonstrating surface landmarks—the line from the greater trochanter to the posterior superior iliac spine, the midline, and the greater trochanter to sacral hiatus line—to identify the needle insertion point.
This procedure was performed by Arun Kalava, MD, EDRA, a board-certified anesthesiologist and interventional pain physician in Tampa, FL, fellowship-trained in Regional Anesthesia and Acute Pain Medicine at Mayo Clinic. Dr. Kalava is the Founder and Chairman of the American Society for Post Surgical Pain (ASPSP).
Treatment of palmar hyperhidrosis with botulinum toxin. A median and ulnar nerve block is performed first for painless administration, followed by marking of approximately 50 injection sites and intradermal injection of 150 units of Botox across the palm.
This procedure was performed by Arun Kalava, MD, EDRA, a board-certified anesthesiologist and interventional pain physician in Tampa, FL, and the Founder and Chairman of the American Society for Post Surgical Pain (ASPSP).
Ultrasound-guided hydrofascial release of the shoulder and thoracic region, demonstrating the fascial planes over the trapezius and supraspinatus, with in-plane needle placement and hydrodissection using local anesthetic plus D5W for myofascial pain.
This procedure was performed by Arun Kalava, MD, EDRA, a board-certified anesthesiologist and interventional pain physician in Tampa, FL, fellowship-trained in Regional Anesthesia and Acute Pain Medicine at Mayo Clinic. Dr. Kalava is the Founder and Chairman of the American Society for Post Surgical Pain (ASPSP).
Ultrasound-guided left phrenic nerve block at the level of the anterior and middle scalene muscles using 2 mL of 0.25% ropivacaine, for treatment of persistent, intractable hiccups. Includes a before-and-after demonstration of hiccup resolution.
This procedure was performed by Arun Kalava, MD, EDRA, a board-certified anesthesiologist and interventional pain physician in Tampa, FL, fellowship-trained in Regional Anesthesia and Acute Pain Medicine at Mayo Clinic. Dr. Kalava is the Founder and Chairman of the American Society for Post Surgical Pain (ASPSP).
Ultrasound-guided cryoneurolysis of the tibial nerve via an 18-gauge introducer, showing ice-ball formation at the nerve. Demonstrated in a lower-limb amputee for management of residual/phantom limb pain, concluding with the patient ambulating pain-free.
This procedure was performed by Arun Kalava, MD, EDRA, a board-certified anesthesiologist and interventional pain physician in Tampa, FL, trained and certified in cryoneurolysis by the technique’s originators. Dr. Kalava is the Founder and Chairman of the American Society for Post Surgical Pain (ASPSP).
Ultrasound-guided axillary nerve block using a posterior approach, demonstrating sonoanatomy of the teres minor, head of the humerus, and posterior circumflex humeral artery, with in-plane needle placement and local anesthetic spread for shoulder analgesia.
This procedure was performed by Arun Kalava, MD, EDRA, a board-certified anesthesiologist and interventional pain physician in Tampa, FL, fellowship-trained in Regional Anesthesia and Acute Pain Medicine at Mayo Clinic. Dr. Kalava is the Founder and Chairman of the American Society for Post Surgical Pain (ASPSP).
This video demonstrates the bilateral suprazygomatic maxillary nerve (SZMN) block performed using both landmark-based and ultrasound-guided techniques for intraoperative and postoperative analgesia in a 12-month-old child undergoing cleft palate repair. The maxillary nerve, located within the pterygopalatine fossa, is the second division of the trigeminal nerve (V2) and is a purely sensory nerve that supplies sensation to the midface, including the palate.
This video demonstrates how to perform an ultrasound-guided iPACK (infiltration between the popliteal artery and the knee capsule) block as an adjuvant technique for postoperative pain control in a pediatric patient presenting for anterior cruciate ligament repair.
This video demonstrates how to perform an ultrasound-guided single-shot adductor canal block for postoperative pain control in a pediatric patient presenting for anterior cruciate ligament repair.
This video demonstrates how to perform an ultrasound-guided intermediate cervical plexus nerve block for postoperative pain control in a pediatric patient presenting for cochlear device implant.
