Blocks
PENG
Indications Acetabular fracture Femoral head fracture Femoral neck fracture Pelvic rami fracture Hip dislocation Coverage limitation: Coverage may be variable for more lateral femoral neck, intertrochanteric, subtrochanteric, or femoral shaft fractures. The PENG block...
Saphenous / Adductor Canal Block
Indications Knee surgery Medial knee pain Laceration, abscess, or foreign body removal of the medial lower leg or ankle Neuropathic pain in the saphenous nerve distribution Ankle fracture or reduction involving the medial malleolus Contraindications Infection...
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...
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...