Blocks
Transgluteal Sciatic
Indications Sciatic nerve pain Injuries (burns, lacerations, abscesses) of the posterior thigh Contraindications Infection overlying injection site Allergy to local anesthetic Concern for compartment syndrome Approximately 6% risk of foot drop, the patient should be...
Axillary Brachial Plexus
Indications Upper extremity fractures Lacerations or abscesses of upper arm Contraindications Infection overlying injection site Allergy to local anesthetic Vascular injury/injection: There are many large vessels that serve as landmarks so color doppler and negative...
PECS-II (Interpectoral plane and Pectoserratus plane block)
Indications Analgesia to axilla Lacerations or abscesses of axillary region Contraindications Infection overlying injection site Allergy to local anesthetic Equipment 30cc of local anesthetic of choice 18-22G needle Saline Flush Cleansing solution Ultrasound with...
Medial Antebrachial Cutaneous
Indications Forearm laceration or injury Contraindications Infection overlying injection site Allergy to local anesthetic Equipment 5cc of local anesthetic of choice 25-27G needle Saline Flush Cleansing solution Ultrasound with high-frequency linear transducer...
Rectus Sheath
Indications Abdominal wall lacerations or injuries Abdominal wall abscess incision and drainage Contraindications Infection overlying injection site Allergy to local anesthetic Equipment 10cc of local anesthetic of choice diluted with 5-10cc of normal saline 20-22G...
Occipital
Indications Occipital neuralgia Cluster headache Cervicogenic headache Migraine, particularly with occipital nerve irritation or tenderness Contraindications Infection overlying injection site Allergy to local anesthetic Skull defect Equipment 2-10cc of local...
PENG
Indications Intertrochanteric hip and femoral neck fractures Acetabulum and pubic rami fractures Contraindications Infection overlying injection site Allergy to local anesthetic Target Pericapsular nerve group (PENG) Lumbar plexus branches contributing to pelvis...
Saphenous
Indications Lacerations, abscesses to medial leg Contraindications Infection overlying injection site Allergy to local anesthetic Equipment 5-10cc of local anesthetic of choice 22G needle Cleansing solution Ultrasound with high-frequency linear transducer Ultrasound...
Lateral Femoral Cutaneous
Indications Lacerations, abscesses to lateral thigh Contraindications Infection overlying injection site Allergy to local anesthetic Equipment 5cc of local anesthetic of choice 22G needle Cleansing solution Ultrasound with high-frequency linear transducer Ultrasound...
Tibial
Indications Lacerations, foreign body, wound exploration of planar foot Calcaneus factures Contraindications Infection overlying injection site Allergy to local anesthetic Equipment 5cc of local anesthetic of choice 23-25G needle Cleansing solution Ultrasound with...