Blocks | Nerve Block

Ulnar

Anterior Hand, Posterior Hand, Upper Extremity

Indications Hand laceration or injury Boxer’s fractures Contraindications Infection overlying injection site Allergy to local anesthetic Vascular injury/injection: the ulnar nerve runs with the ulnar artery, ensure a negative aspiration prior to injection Equipment...

Radial

Posterior Hand, Upper Extremity

Indications Hand laceration or injury Contraindications Infection overlying injection site Allergy to local anesthetic Considerations If performed above the elbow, the radial nerve contains both sensory and motor nerves, and blockade will result in a wrist drop...

Median

Anterior Hand, Upper Extremity

Indications Hand laceration or injury Contraindications Infection overlying injection site Allergy to local anesthetic Vascular injury/injection: blocking proximal to elbow the median nerve runs with the brachial artery, ensure a negative aspiration prior to injection...

Musculocutaneous

Anterior Forearm, Upper Extremity

Indications Forearm laceration or injury Contraindications Infection overlying injection site Allergy to local anesthetic Equipment 10-15cc of local anesthetic of choice 18-22G needle Saline Flush Cleansing solution Ultrasound with high-frequency linear transducer...

$Infraclavicular Brachial Plexus$

Infraclavicular Brachial Plexus

Anterior Forearm, Anterior Hand, Anterior Proximal, Posterior Forearm, Posterior Hand, Posterior Proximal, Upper Extremity

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...

Axillary Nerve

Anterior Proximal, Anterior Shoulder, Posterior Proximal, Posterior Shoulder, Upper Extremity

Indications Lacerations or abscesses of deltoid Contraindications Infection overlying injection site Allergy to local anesthetic Equipment 5-10cc of local anesthetic of choice Syringe Saline Flush Cleansing solution Ultrasound with linear transducer Ultrasound...

Supraclavicular Brachial Plexus

Anterior Forearm, Anterior Hand, Anterior Proximal, Anterior Shoulder, Posterior Forearm, Posterior Hand, Posterior Proximal, Posterior Shoulder, Upper Extremity

Indications Upper extremity fractures Lacerations or abscesses of upper arm and deltoid Contraindications Infection overlying injection site Allergy to local anesthetic Severe lung disease: Risk of unilateral pneumothorax Phrenic nerve dysfunction: Specifically...

Interscalene Brachial Plexus

Anterior Forearm, Anterior Hand, Anterior Proximal, Anterior Shoulder, Upper Extremity

Indications Humerus fracture Lacerations or abscesses of upper arm and deltoid Shoulder dislocation Contraindications Infection overlying injection site Allergy to local anesthetic Severe lung disease: Risk of unilateral pneumothorax Phrenic nerve...

Superficial Cervical Plexus

Head, Neck

Indications Clavicle fractures Laceration repair Internal jugular central lines Contraindications Infection overlying injection site Allergy to local anesthetic Distortion of anatomical landmarks Equipment 2-5cc of local anesthetic of choice Syringe Saline Flush...

Auricular

Ear, Head

Indications Repair of lacerations Incision and drainage of hematoma or abscess Other painful procedures involving the external ear Contraindications Infection overlying injection site Allergy to local anesthetic Distortion of anatomical landmarks Equipment 2-5cc of...