Basic Principles of Analgesia
Overview Review of Local Anesthetics 1. The two most commonly used local anesthetics are lidocaine (Xylocaine) and bupivacaine (Marcaine, Sensorcaine) ( Table 1.1 ). a. Recent studies have suggested that…
Hematoma Block
Overview 1. A hematoma block may be performed anywhere an acute fracture is present. 2. Typically, hematoma blocks are performed in regions where it is impractical to perform selective nerve…
Elbow Block
Overview The following five nerves are involved in an elbow block: radial, median, ulnar, medial antebrachial cutaneous, and lateral antebrachial cutaneous. 1. The radial and lateral antebrachial cutaneous nerves are…
Digital Block
Overview 1. Two techniques can be used to perform a digital block: a. Tendon sheath injection b. Web space injection 2. The web space injection technique is more painful but…
Wrist Block
Overview The following three nerves are involved in a wrist block: radial, median, and ulnar. 1. The ulnar nerve has a dorsal sensory branch that arises 5 cm proximal to the…
