OVERVIEW OF SECTIONS IN EACH NERVE BLOCK CHAPTER
ARiRA REGIONAL ANAESTHESIA COURSE

Clinical Indications

🧠 Enhanced Precision for Targeted Nerve Blocks: Selecting the appropriate block for specific clinical scenarios ensures targeted anaesthesia, improving outcomes and patient comfort.​

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🛌 Improved Postoperative Pain Control: Implementing regional anaesthesia effectively addresses postoperative pain, providing sustained relief and reducing the need for additional pain management.

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⚡ Increased Procedural Safety: Tailoring the choice of block to each procedure lowers the risk of complications, especially in high-risk patients, and enhances the safety profile of surgeries.

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Patient Positioning

🧍‍♂️ Optimal Patient Positioning: Ensure better access to target nerves, improving procedural efficiency in regional anaesthesia.

🩺 Enhanced Ultrasound Imaging: Correct positioning maximises anatomical visibility, enabling clearer ultrasound guidance for precision nerve blocks.

✋ Reduced Patient Discomfort: Proper patient positioning minimises discomfort, enhancing the overall experience during regional anaesthesia procedures.

⚡ Increase Procedure Success: Master positioning techniques to boost success rates and ensure safer, more effective outcomes in regional anaesthesia.

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Augmented Surface Anatomy

🧍‍♀️ Master Surface Landmarks: Understanding surface anatomy is essential for identifying anatomical structures and ensuring precise needle placement in regional anaesthesia.

🌍 Enhanced Procedural Accuracy: Improve nerve targeting and reduce complications by mastering surface anatomy.

🩻 Augmented Reality Advantage: Visualise underlying structures with augmented surface anatomy for better spatial awareness and precision.

⚙️ Boost Confidence: Mastering surface anatomy helps you perform regional anaesthesia with greater accuracy and confidence.

3D Internal Anatomy

🧠 Understand 3D Anatomy: Visualising the 3D course of nerves and their anatomical relations is crucial for accurate and safe regional anaesthesia.

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🔄 Immersive 360° Exploration: This section showcases a dynamic 3D anatomy model. Click to expand and rotate the model using the interactive slider for full control over your perspective, offering detailed examination from every angle.

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🌐 Enhanced Spatial Understanding: Gain a deeper comprehension of the spatial relationships between anatomical structures, providing a clearer and more interactive learning experience than traditional flat images.

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🩻 Realistic and Practical Insights: The lifelike 3D model enhances understanding of anatomy, providing essential visualisation needed for precision in performing nerve block techniques safely and accurately.​

Cadaver Glide-View ©

🧑‍🔬 Cadaver Glide View for Regional Anaesthesia: Explore detailed cadaver dissections to deepen your anatomical understanding, which is essential for mastering nerve block techniques.

🩻 Realistic Insights: Visualise true anatomical relationships crucial for safe and precise nerve block procedures.

🔍 Deeper Understanding: Gain insight into real anatomical variations, enhancing your ability to tackle challenges during regional anaesthesia.

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✨ Reveal Bar: Within the Glide View, use the interactive Reveal Bar to hide or display annotations, allowing smooth transitions between guided and unguided views. This feature enhances learning by giving you the ability to explore intricate anatomical details at your own pace.

Sono-anatomy Glide-View ©

🖥️ Sonoanatomy Glide View: This section showcases the essential sono-anatomy needed to perform nerve blocks effectively.

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🎛️ Interactive Image: Use the reveal bar to move left or right and explore the ultrasound image with and without colourised anatomical landmarks, enhancing your understanding of key structures.

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🧠 Simplified Complexity: Visualise complex anatomy easily, improving the safety and precision of your nerve block procedures.

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3D/AR Probe Placement ©

🖱️ Interactive 3D Model Control: Rotate the 3D model easily using your cursor to explore probe positioning from every angle, providing a detailed understanding of optimal probe placement.

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📲 Immersive AR Experience: For a more hands-on experience, click the AR icon in the top right corner of the image. A QR code will appear. Open your phone’s camera, scan it, and you'll be taken to our secure AR platform, learn.arira.us.

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🌍 Bring the 3D Model to Your Room: Once prompted, tap "Allow" to project the 3D model onto any clear surface in your room, allowing you to explore the model from any perspective.

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👁️ The Best Seat in the Course: Always in the front row, this immersive view ensures you never miss a detail, offering unparalleled learning of probe positioning techniques.

Ultra-Slide Probe Control ©

🖥️ Interactive Ultra-Slide Probe Control: This tool enhances your understanding of ultrasound anatomy and dynamic scan techniques in regional anaesthesia.

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🎛️ Slider Control: Move the slider left and right to observe how the operator manoeuvres the ultrasound probe proximally and distally, helping you visualise hand movements and corresponding ultrasound images in real-time.

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⏳ Explore at Your Own Pace: Slowly move the slider to fully grasp the changes in ultrasound anatomy as the probe moves, giving you time to focus on specific sono-anatomical features.

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🧑‍🏫 Expert Guidance: The expert probe section highlights the optimal probe orientation and displays the corresponding ultrasound image, guiding you through correct positioning.

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🤖 Proxy Probe Control: As you move the slider, you virtually control the probe, allowing you to explore different sono-anatomical views just as if you were performing the scan yourself.

Electronic Sono-Simulator

🖥️ Virtual Ultrasound Probe: This section gives you access to a virtual ultrasound probe that allows you to explore a digital human body interactively.

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🎮 Interactive Probe Movements: As you move the probe, the corresponding ultrasound images dynamically update on the left side of the screen, reflecting real-time adjustments and helping you understand probe movements and image correlation.

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🔎 Layered Anatomy View: Customise your view by adjusting the vertical bar on the right side. This feature lets you visualise different anatomical layers—such as skin, muscles, and nerves—providing deeper insight into the underlying structures critical for regional anaesthesia.

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⏳ Loading Time: Please allow 20-30 seconds for the tool to load. For the best experience, ensure a stable internet connection. We appreciate your patience during this brief loading period.

3D/AR Needle Insertion ©

🖱️ Interactive 3D Model Control: Rotate the 3D model using your cursor to explore needle insertion from every angle, giving you complete control over your view.

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📲 Immersive AR Experience: For a more engaging experience, click the AR icon in the top right corner. A QR code will appear—scan it with your phone to access our secure AR platform at learn.arira.us.

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🌍 Bring the 3D Model to Your Room: After scanning, tap “Allow” to project the 3D needle insertion model into your environment. Point your phone to a clear surface to interact with the model from any perspective.

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👁️ The Best Seat in the Course: With ARiRA, you’re always in the front row, enjoying an unparalleled view of the needle insertion process, ensuring you don’t miss any crucial details.

Successful distribution of local anaesthetic

💉 Distribution of Local Anaesthetic: Learn how the anaesthetic should spread within the target area, ensuring comprehensive nerve blockade and optimal analgesia.

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🖥️ Ultrasound-Guided Injection: Discover the importance of using real-time ultrasound to monitor the spread of local anaesthetic, ensuring it remains within the correct fascial plane.

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🔍 Post-Injection Check: Review the area post-injection to ensure the anaesthetic has been distributed evenly and covers the necessary anatomical region for successful pain management.

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Precautions / Complications

⚠️ Precautions: A successful regional anaesthesia procedure requires careful patient evaluation, thorough knowledge of anatomy, and precise ultrasound guidance to minimise risks.

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🚫 Potential Complications: Regional anaesthesia, like any medical procedure, carries risks. Awareness and early recognition of these complications are critical to ensuring patient safety.

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🩺 Management Strategy: Prompt management of complications is essential to ensuring patient safety. Early recognition, quick intervention, and proper treatment are key to mitigating risks and preventing adverse outcomes.

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📖 Detailed Learning: Proper technique, vigilant monitoring, and thorough knowledge of anatomy and ultrasound-guided regional anaesthesia techniques detailed in ARiRA can significantly reduce these risks and ensure optimal outcomes.

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