Boxes | Steps | Acquired | Not acquired |
---|---|---|---|
1. Preoperative consult | Knowledge and compliance for contraindications | ||
Explanation of the procedure and obtaining consent | |||
2. Technical aspects | Choice of ultrasound probe | ||
Correct preset selection (loco-regional anesthesia) | |||
3. Asepsis | Physician’s clothing | ||
Preparation of syringes (2 × 5 ml saline serum) | |||
Preparation of the probe | |||
Correct cleaning of the site | |||
Sterile gel for the puncture area | |||
4. Ultrasound guidance and anatomical identification | Correct orientation of the probe | ||
*Anatomical and sono-anatomical landmarks | |||
*Ideal trajectory and in-plane progression | |||
Stability of the probe throughout the procedure* *− 2 = low stability/+ 2 high stability | − 2, − 1, 0, + 1, + 2 | ||
5. Hydro-dissection procedure | Visualization of the needle tip throughout the procedure | ||
Suction before injection | |||
*Identification of the injection area, injection of 2 × 5 cc (syringe change), and visualization of fascia detachment | |||
Ultrasound-guided FICB | |||
Number of breakthroughs | |||
LOP |