Blocks
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 abscess drainage Abdominal wall laceration repair Unilateral abdominal pain syndromes, including appendicitis, epiploic appendagitis, renal colic, or biliary colic Acute or chronic abdominal pain Scope: The TAP block provides somatic...
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...
Ulnar
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
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
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
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
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
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...