Blocks
Common Peroneal
Indications Lacerations or abscesses involving lateral lower leg Contraindications Infection overlying injection site Allergy to local anesthetic Equipment 5cc of local anesthetic of choice 22-25G needle Cleansing solution Ultrasound with high-frequency linear...
Popliteal Sciatic
Indications Fractures of distal tibia/fibula, foot fractures Achilles tendon rupture Lower extremity burns, lacerations and abscesses Contraindications Infection overlying injection site Allergy to local anesthetic Request of consultant Concern for compartment...
Femoral
Indications Fractures of the femoral head, neck, intertrochanteric/subtrochanteric regions, shaft Proximal tibial fractures Patella fractures Anterior thigh lacerations or abscesses Contraindications Infection overlying injection site Allergy to local anesthetic...
Fascia Iliaca
Indications Fractures of the femoral head, neck, intertrochanteric/subtrochanteric regions, shaft Proximal tibial fractures Patella fractures Anterior thigh lacerations or abscesses Contraindications Infection overlying injection site Allergy to local anesthetic...
Digital
Indications Laceration repair Dislocation/fracture reduction Pain control for traumatic injury Paronychia Felon Nail trephination or removal Contraindications Infection overlying injection site Allergy to local anesthetic Equipment 5-10cc of local anesthetic of choice...
Perianal
Indications Rectal foreign body removal External hemorrhoid excision Rectal prolapse Anorectal abscess drainage Contraindications Infection overlying injection site Allergy to local anesthetic Equipment 15-20cc of local anesthetic of choice 27G needle Cleansing...
Penile
Indications Priapism Penile laceration Penile fracture Contraindications Infection overlying injection site Allergy to local anesthetic Equipment 5-10cc of local anesthetic of choice 27G needle Cleansing solution Technique Position patient supine Insert needle at 2-...
Transversus Abdominis Plane
Indications Abdominal wall lacerations or injuries Contraindications Infection overlying injection site Allergy to local anesthetic Equipment 15-20cc of local anesthetic of choice diluted with 15-20cc of normal saline 20-22G needle (or spinal needle) Cleansing...
Erector Spinae
Indications Chest wall trauma Posterior rib fractures Thoracic or abdominal acute herpes zoster or post-herpetic neuralgia Vertebral compression fractures Contraindications Infection overlying injection site Allergy to local anesthetic Requirement for dense anesthesia...
Serratus Anterior
Indications Rib fractures Thoracic lacerations or injuries Contraindications Infection overlying injection site Allergy to local anesthetic Equipment 15-20cc of local anesthetic of choice diluted with 15-20cc of normal saline 20-22G needle (or spinal needle) Cleansing...