Chapter 5 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 provides a complete digital block more reliably. Indications for use A digital block is used for soft tissue injuries about the finger distal to the proximal interphalangeal joint. Precautions 1. Warnings not to use epinephrine in a digit are based on misinterpretations of invalidated data. 2. Do not use a digital block if the metacarpophalangeal (MP) joint is surrounded by infection. Pearls When performing a tendon sheath injection, the dorsal block can be enhanced by skirting the tendon sheath on either side and injecting on the dorsum of the hand. Equipment 1. Antiseptic: Chlorhexidine prep stick or alcohol-soaked gauze 2. Syringe: 10-mL syringe 3. Needle: a. Large-bore, blunt-tipped, drawing-up needle b. 1½-inch, 25-gauge needle 4. Anesthetic (for a typical adult): a. Lidocaine: 5 mL of 2% b. Bupivacaine: 5 mL of 0.5% 5. Sterile gloves 6. 4 × 4 inch gauze Basic technique 1. Patient positioning: Place the hand on a bedside table with the arm in pronation. Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: Intra-articular Ankle Block Elbow Block Femoral Skeletal Traction Basic Principles of Reduction Maneuvers Lower Extremity Splints and Casts Upper Extremity Splints and Casts Stay updated, free articles. Join our Telegram channel Join Tags: Handbook of Splinting and Casting Mobile Medicine Series Aug 24, 2016 | Posted by admin in ORTHOPEDIC | Comments Off on Digital Block Full access? Get Clinical Tree
Chapter 5 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 provides a complete digital block more reliably. Indications for use A digital block is used for soft tissue injuries about the finger distal to the proximal interphalangeal joint. Precautions 1. Warnings not to use epinephrine in a digit are based on misinterpretations of invalidated data. 2. Do not use a digital block if the metacarpophalangeal (MP) joint is surrounded by infection. Pearls When performing a tendon sheath injection, the dorsal block can be enhanced by skirting the tendon sheath on either side and injecting on the dorsum of the hand. Equipment 1. Antiseptic: Chlorhexidine prep stick or alcohol-soaked gauze 2. Syringe: 10-mL syringe 3. Needle: a. Large-bore, blunt-tipped, drawing-up needle b. 1½-inch, 25-gauge needle 4. Anesthetic (for a typical adult): a. Lidocaine: 5 mL of 2% b. Bupivacaine: 5 mL of 0.5% 5. Sterile gloves 6. 4 × 4 inch gauze Basic technique 1. Patient positioning: Place the hand on a bedside table with the arm in pronation. Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: Intra-articular Ankle Block Elbow Block Femoral Skeletal Traction Basic Principles of Reduction Maneuvers Lower Extremity Splints and Casts Upper Extremity Splints and Casts Stay updated, free articles. Join our Telegram channel Join Tags: Handbook of Splinting and Casting Mobile Medicine Series Aug 24, 2016 | Posted by admin in ORTHOPEDIC | Comments Off on Digital Block Full access? Get Clinical Tree
