Blocks
Stellate Ganglion Block
Indications Refractory ventricular arrhythmia Non-emergency-department indications described in the source: Complex regional pain syndrome Sympathetically maintained pain Postherpetic neuralgia Phantom limb pain Post-traumatic stress disorder Anxiety Contraindications...
Lumbar Erector Spinae Plane (ESP) Block
Indications Low back pain Sciatica Contraindications Infection overlying injection site Allergy to local anesthetic Equipment 20–30 mL of local anesthetic of choice 20 G, 10 cm nerve block or spinal needle Saline flush Cleansing solution Ultrasound with low-frequency...
Genicular Nerve Block
Indications Acute or chronic knee pain Contraindications Infection overlying injection site Allergy to local anesthetic Avoid the inferolateral injection site due to proximity to the common peroneal nerve and risk of foot drop Equipment 15cc of local anesthetic of...
Clavipectoral Fascial Plane Block
Indications Clavicle fractures Contraindications Infection overlying injection site Allergy to local anesthetic Equipment 10cc of local anesthetic of choice Typically 5cc on either side of the fracture 20-22G, 1.5-3.5 in spinal/nerve block needle Saline Flush...
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...