Category Archives: Nerve Block

Introduction Clinicians in the emergency department and other acute care settings frequently encounter patients who have sustained trauma to the lower leg or foot and require anesthesia for repair. Regional block of the saphenous nerve, a pure sensory nerve of the leg, allows for rapid anesthetization of the anteromedial lower extremity, including the medial malleolus. […]

Introduction Emergency practitioners and other clinicians working in acute care settings frequently encounter patients who have trauma to or pathology of the dorsum of the foot and require anesthesia for treatment and repair. Regional block of the superficial peroneal nerve allows for rapid anesthetization of the dorsum of the foot, which allows for management of lacerations, fractures, […]

<< Posterior Tibial Nerve Block Technique Explain the procedure, benefits, risks, and complications to the patient and/or patient’s representative, and inform the patient of the possibility of paresthesia during the procedure. Obtain informed consent in accordance with hospital protocol. Perform and document neurovascular and musculoskeletal examinations prior to the procedure. Testing the posterior tibial nerve […]

Introduction Pratitioners in the emergency department frequently encounter patients who have sustained trauma to the sole of the foot and require anesthesia for repair. This tender area is relatively difficult to anesthetize locally. Regional block of the posterior tibial nerve allows for rapid anesthetization of the heel and plantar regions of the foot. Regional blocks […]

Introduction Radial nerve block is a simple procedure that can be performed at various levels along the course of the radial nerve. Surgical anesthesia, postoperative analgesia, and palliative measures for acute painful conditions are all indications for radial nerve block. Radial nerve anatomy The radial nerve is 1 of the 4 important branches of the […]

Introduction Median nerve blocks at the wrist, either alone or in combination with blockade of the ulnar and radial nerves, are useful emergency department (ED) procedures. Compared to local anesthesia, nerve blocks provide greater efficacy and coverage of anesthesia useful for more complicated wounds or procedures involving the hand. In general, adequate anesthesia is a […]

Introduction Deep peroneal nerve block is one of the 2 deep nerve blocks at the level of the ankle. The deep peroneal nerve block is easy to perform and may constitute part of an ankle block. The deep peroneal nerve block is useful for anesthesia and postoperative analgesia to surgeries of the first web space […]

Introduction Digital nerve blocks are important tools for the emergency medicine clinician. Injuries or infections of the digits are extremely common. Adequate analgesia is essential to properly address the presenting condition and to minimize the patient's discomfort. Digital blocks are useful in many scenarios in which local infiltration of an anesthetic would require several injections […]