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AUGMENTED REALITY in REGIONAL ANAESTHESIA

Created by a practising consultant in anaesthesia and chronic pain medicine in the UK!

🌍 On-Demand & Accessible Anywhere: Whether you're using your mobile (iOS & Android), tablet, laptop, or desktop, ARiRA offers flexible learning that fits your busy schedule.

🖥️ Immersive Multimedia Learning: Explore 3D images, augmented reality, cadaver dissections, real-life ultrasound images and ARiRA’s unique "virtual hands-on" Ultra-Slide © probe control.

🧠 Interactive Ultrasound Simulator: Train with an advanced ultrasound simulator, allowing you to learn in a virtual environment and perfect your regional anaesthesia techniques.

📚 Online Atlas for Regional Anaesthesia: Access a comprehensive Online Atlas that offers superior guidance compared to traditional resources. 

🎓 Learning for All Skill Levels: Whether you're a beginner or an experienced practitioner, ARiRA caters to your needs.

📜 CPD Certification: Upon completing the course, receive a CPD Certification from ARiRA, helping you meet annual CPD requirements.

📖 Always Updated & Evidence-Based: Stay at the forefront of regional anaesthesia techniques with regularly updated content based on the latest research and best clinical practices.

ARiRA - Individual Plan

£69

69

Every year

Online Ultrasound guided Regional Anaesthesia Course

Valid until canceled

Clinical Indications

Patient Positioning

Augmented Surface Anatomy

3D Internal Anatomy

Cadaver Glide-View ©

Sono-anatomy Glide-View ©

Ultrasound Probe selection

3D/AR Probe Positioning

Ultra-Slide © Probe Control

Interactive Sono-Simulator

3D/AR Needle Insertion

Local anaesthetic distribution

Precautions / Complications

Ultrasound-guided nerve blocks covered

Intermediate cervical plexus block

Interscalene brachial plexus block

Superior trunk block

Supraclavicular brachial plexus block

Costo-clavicular brachial plexus block

Infra-clavicular brachial plexus block

Suprascapular nerve block - anterior approach

Suprascapular nerve block - posterior approach

Axillary brachial plexus block

Musculocutaneous nerve block

Intercostobrachial nerve block

Median nerve block in arm

Median nerve block in antecubital fossa

Median nerve block in the forearm

Radial nerve block in arm

Radial nerve block in antecubital fossa

Ulnar nerve block in arm

Ulnar nerve block in the forearm

PECS 1 block

PECS 2 block

Serratus plane block

Erector spinae plane block

Rectus sheath block

Subcostal TAP block

Lateral TAP block

Quadratus lumborum plane block

Ilio-inguinal Ilio-hypogastric nerve block

Supra-inguinal fascia iliaca block

Infra-inguinal fascia iliaca block

Femoral nerve block

Lateral femoral cutaneous nerve block

Adductor canal block

Genicular nerves of the knee block

IPACK knee block

Popliteal sciatic nerve block

Posterior tibial nerve block

Saphenous nerve block in ankle

Deep peroneal nerve block

Superficial peroneal nerve block

Sural nerve block

Clinical Indications

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

🔄 Reduced Need for Systemic Analgesics: Regional blocks can reduce reliance on systemic opioids, minimising side effects and enhancing recovery.

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

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.

--> Improve your practice with ARiRA and master the art of regional anaesthesia for critical clinical scenarios!

#LearnARiRA, Online Regional Anaesthesia Course

Patient Positioning

🧍‍♂️ Optimal Patient Positioning ensures better access to target nerves, making procedures smoother and more efficient.

🩺 Improved Ultrasound Imaging: Proper positioning enhances anatomical visibility, allowing clearer ultrasound guidance.

Reduced Patient Discomfort: By positioning the patient correctly, you can minimize discomfort and improve overall experience.

Increase Procedure Success: Mastering positioning techniques leads to safer, more effective regional anaesthesia.

--> Learn these key skills with ARiRA and elevate your practice!

#LearnARiRA, Online Regional Anaesthesia Course

Intermediate Cervical Plexus Block - Patient Positioning

Augmented Surface Anatomy

🧍‍♀️ Master Surface Landmarks: Surface anatomy is crucial for identifying key anatomical structures and ensuring accurate needle placement.

🌍 Enhanced Procedural Accuracy: Understanding surface anatomy allows for more precise targeting of nerves, reducing complications.

🩻 Augmented Reality Advantage: With augmented surface anatomy, you can visualise underlying structures, improving your spatial understanding.

⚙️ Boost Confidence: Mastering surface anatomy boosts your ability to perform regional anaesthesia with greater confidence and accuracy.​

#LearnARiRA, Online Regional Anaesthesia Course

Intermediate Cervical Plexus Block - Augmented Surface Anatomy

3D Internal Anatomy

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

🔄 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.

🌐 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.

🩻 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.

#LearnARiRA, Online Regional Anaesthesia Course

Intermediate Cervical Plexus Block - 3D Internal Anatomy

Cadaver Glide-View ©

🧑‍🔬 Cadaver Glide View: Enhancing Your Anatomical Understanding: This section presents detailed cadaver anatomy dissections, offering an essential view of human anatomy critical for mastering regional anaesthesia techniques.

🩻 Realistic Insights: Cadaver dissections provide an accurate, life-like depiction of anatomy, allowing you to visualise the true spatial relationships between structures essential for safe nerve block procedures.

🔍 Deeper Understanding: Seeing real anatomical variations enhances your comprehension of the complexities involved in nerve blocks, helping you anticipate challenges during procedures.

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.

#LearnARiRA, Online Regional Anaesthesia Course

Interscalene Brachial Plexus Block - Cadaver Glide-View ©

Sono-anatomy Glide-View ©

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

🎛️ 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.

🧠 Simplified Complexity: This interactive design simplifies complex sono-anatomy, helping you visualise the relevant anatomy more clearly, which enhances both the safety and precision of nerve blocks.

#LearnARiRA, Online Regional Anaesthesia Course

Interscalene Brachial Plexus Block - Sono-anatomy Glide-View ©

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.

📲 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.

🌍 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.

👁️ 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.

#LearnARiRA, Online Regional Anaesthesia Course

Interscalene Brachial Plexus Block - 3D/AR Probe Placement

Ultra-Slide Probe Control ©

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

🎛️ 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.

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.

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

🤖 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.

#LearnARiRA, Online Regional Anaesthesia Course

Interscalene Brachial Plexus Block - Ultra-Slide Probe-Control ©

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.

🎮 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.

🔎 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.

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.

#LearnARiRA, Online Regional Anaesthesia Course

Ultrasound Sono-Simulator

Rectus sheath block - Sono-Simulator

(Due to the advanced features of this software and loss of functionality in mobile, this section is currently not available on mobile devices )

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.

📲 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.

🌍 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.

👁️ 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.

#LearnARiRA​, Online Regional Anaesthesia Course

Rectus Sheath Block - 3D/AR Needle Insertion

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.

🖥️ 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.

🔍 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.

#LearnARiRA, Online Regional Anaesthesia Course

Precautions / Complications

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

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

🩺 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. 

📖 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.

#LearnARiRA​, Online Regional Anaesthesia Course

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