How To Perform Nerve Block of The Upper Lip?

[DocFK]

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A patient requested anesthesia of the upper lip for electrolysis. I would like to know if there is a documented procedure to perform a nerve block of the upper lip by using a percutaneous approach. An infraorbital nerve block through an intraoral approach would seem like overkill to me.

 

[sevoflurane]

C1 spinal.

 

[partydoc]

why not EMLA or something?

 

[Orin]

LTMGTFY

http://www.lovethatface.com/files/2013/04/SimpleAnesthesiaTechnique.pdf

 

[risnwb]

can do infraorbital block trans-nasal or just through the skin


Sent from my iPhone using SDN mobile

 

[caligas]

C1 spinal.

ISO or hyberbaric?

 

[IlDestriero]

Infraorbital


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Il Destriero

 

[narcusprince]

That's more of a dental block. Super alveolar nerve block. I'm not injecting anything into the gums. I am not trained in making injections into non-sterile sites.

 

[Arch Guillotti]

That's more of a dental block. Super alveolar nerve block. I'm not injecting anything into the gums. I am not trained in making injections into non-sterile sites.

So you have never done a glossopharyngeal nerve block?

 

[deleted162650]

I agree topical like EMLA is the way to go here. Let's not complicate things. Or just a Midol and tell the walrus to suck it up.

 

[Consigliere]

So you have never done a glossopharyngeal nerve block?

I never have and never will. What's the point?

 

[narcusprince]

I never have and never will. Don't need the extra liability.

 

[Arch Guillotti]

I never have and never will. What's the point?

Listen slim, the point is that I suspect his residency may not have been "second to none".

The other point is that the block can be helpful in certain circumstances.

 

[narcusprince]

Listen slim, the point is that I suspect his residency may not have been "second to none".

The other point is that the block can be helpful in certain circumstances.

Just because I was taught something at a place that was second to none does not mean I will use it. We learned retrobulbar blocks in training sure as hell will NEVER do that block in practice.

 

[Arch Guillotti]

I am not trained in making injections into non-sterile sites.

Just because I was taught something at a place that was second to none does not mean I will use it.

 

[Consigliere]

Listen slim, the point is that I suspect his residency may not have been "second to none".

The other point is that the block can be helpful in certain circumstances.

Ok slim...name those circumstances where you, an anesthesiologist, would find this block helpful.

 

[narcusprince]

This brings up another point dentist inject all the time into mucosal membranes riddled with bacteria with the only asepsis being the mouthwash they give you which is alcohol based. What type of aspetic technique do you use when injecting into the mucosal membrane for your glossopharanygeal nerve block? If a dentist can inject into submucosal membranes without worry for infection why are we so worried about sterile technique with nerve blocks. IE chlorhexidine at the site, sterile mask, sterile probe cover, sterile drape. Dentist routinely inject into amalgams of bacteria with very few abscess formations. Anyone also ask what is the electrolysis treatment for? Hair removal? If so sounds like a vain patient whom is high risk to sue should your nerve block have any complications. Pass.

 

[Consigliere]

Ok slim...name those circumstances where you, an anesthesiologist, would find this block helpful.

(Crickets chirping)

 

[narcusprince]

Crickets..... BTW lidocaine pledgets work just as good for our use versus direct injection.

 

[dhb]

Iv dexamethasone since it's as good as a block!

 

[partydoc]

Iv dexamethasone since it's as good as a block!

I'm going to do a study to see if iv dex prolongs duration of EMLA

 

[Arch Guillotti]

(Crickets chirping)

lol