Introduction To Ultrasound Guided Regional Anesthesia

Two men in scrubs viewing an ultrasound image on a tablet

This online CME course provides a solid foundation in the core concepts of ultrasound machine opera­tion, needle guidance, and sonoanatomy of the femoral nerve, sciatic nerve, brachial plexus, adductor canal and sonoanatomy of the abdominal wall for TAP blocks. This knowl­edge is coupled with essential strategies on how to use sonographic landmarks to locate and identify target nerves and other key anatomic structures. This course is directed at anesthesiologists, residents, medical students, other physicians and allied health professionals performing or assisting with ultrasound guided regional anesthesia procedures. The CME credits are available for eligible physicians only.
This online activity is approved for a maximum of 22.0 AMA PRA Category 1 Credits™. (See credit below)


The companion iBook to the online course Intro to USGRA can be downloaded from iTunes. Order Fundamentals of Ultrasound Guided Regional Anesthesia: An Interactive Guide from the iTunes store.

UPDATE: USGRA II Books iPad Ready!

The USGRA II book is available for iPads. View  the USGRA II brochure for updated information.

Register for Introduction to USGRA


Click here for a demo of the online course: 
Intro to USGRA 

Upon successful completion of the course the participant will:   

  • Understand ultrasound principles and machine operation for image acquisition and optimization
  • Understand techniques for ultrasound guided needle placement 
  • Have a solid understanding of the anatomy and sonoanatomy of the femoral region, sciatic nerve and posterior thigh, the neck and brachial plexus, the adductor canal, and the abdominal wall to aid in TAP blocks.
  • Gain essential strategies on how to use sonographic landmarks to identify nerve targets.

This course is offered at $250 payable by credit card only. Visa and Mastercard accepted. Purchase provides access to ALL course materials for six months from the date of registration.

Ultrasound Basics

1.    Ultrasound Principles
2.    Ultrasound Machine Controls
3.    Ultrasound Probe Handling
4.    Ultrasound Probe and Needle Guidance
5.    Sonographic Landmark Approach
6.    Ultrasound Artifacts

Femoral Region

1.    Sonoanatomy of the Femoral Nerve
2.    Practice Identifying the Femoral Nerve

Sciatic Nerve and Posterior Thigh

1.    Introduction to the Sciatic Nerve
2.    Sonoanatomy of the Gluteal Region
3.    Sonoanatomy of the Infragluteal Region


1.    Sonoanatomy of the Popliteal Region
2.    Interactive Simulation of the Sonoanatomy of the Posterior Thigh
3.    Practice Identifying the Sciatic Nerve

Brachial Plexus

1.    Introduction to the Brachial Plexus
2.    Anatomy of the Neck
3.    Anatomy of the Supraclavicular fossa
4.    Ultrasound Imagery of the Neck
5.    Ultrasound Imagery of the Supraclavicular fossa
6.    Complications associated with nerve blocks in the neck and supraclavicular fossa
7.    Practice Identifying the Brachial Plexus

Sonoanatomy for TAP Blocks

1. Anatomy of the Abdominal Wall
2. Innervation for the Abdominal wall
3. Subcostal TAP and Rectus Sheath Blocks
4. Mid-Axillary and Posterior Blocks

Axillary Block

1. Axillary Anatomy
2. Axillary Sonoanatomy
3. Clinical Notes for Axillary Blocks

Adductor Canal

1. Anatomy of Adductor Canal
2. Sonoanatomy of Proximal Adductor Canal
3. Sonoanatomy of distal Adductor Canal

Sonoanatomy of the Spine

1. Spine Intro
2. Spine Anatomy
3. Transverse Lumbar Spine

Paravertebral Block

1. Thoracic Paravertebral Space
2.Thoracic Vertebrae
3. Paramedian Techniques
4. Transverse/ Axial Approaches

Ultrasound Artifacts

Final Exam

Comprehensive skills assessment of sonographic interpretation of the Femoral Nerve, Sciatic Nerve and Brachial Plexus

Oregon Health & Science University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Oregon Health & Science University School of Medicine designates this enduring material for a maximum of 22 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

In addition to Continuing Education Credits, the OHSU Department of Anesthesiology and Perioperative Medicine is offering a Certificate of Completion to eligible participants.  To be eligible, participants must be a physician, complete all educational modules and videos, pass all of the quizzes (70% correct), and pass a final exam (50% correct) covering material from all the course modules. The final exam includes interpretation of ultrasound images.

OHSU - Intro to USGRA staff

For question about: Introduction to USGRA

Phone: 858.342.8050


TLC/ Sakai Help Desk

For questions about: Technical support for on-line courses

(Monday - Friday 8 a.m. - 10 p.m., Weekend noon - 5 p.m.)

Phone: 1-877-972-5249 on campus, 4-7074

Email: Sakai Help Desk:

Continuing Professional Development

For questions about: accreditation, CME

Phone: 503.494.8700