Regional Nerve Blocks

[Rendar5]

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What nerve blocks do you guys feel are invaluable to your practice (aside from the more obvious digital blocks)? I've only learned a few blocks so far, but want to expand my knowledge and armamentarium when i get back to the ED from my off-service months.

 

[name?]

What nerve blocks do you guys feel are invaluable to your practice (aside from the more obvious digital blocks)? I've only learned a few blocks so far, but want to expand my knowledge and armamentarium when i get back to the ED from my off-service months.

There are only a few I use regularly aside from digital blocks: infraorbital, suprorbital and mental nerve blocks seem to come up the most for me. For facial lacs, they make it much easier with less tissue distortion than local infiltration. Love 'em.

 

[kungfufishing]

face and mouth, the sole of the foot, sometimes the femoral block can be useful, too.

 

[Hamhock]

ultrasound makes a lot of blocks easily accessible...

i find the median/ulnar/radial blocks nearly invaluable

next is posterior tibial down by the medial mal for work on the plantar surface (can be done, like all blocks, without ultrasound; but why?)...the plantar surface is an extremely painful area to inject locally and the tissue layers are so tight down there that complications of injecting too much fluid can be quite bad

femoral nerve (a bit difficult to get through fascia illiaca and around nerve, but worth it)

i am playing around with sciatic above the popliteal fossa now...once i get a good handle on this, i think it will jump up to number two for most useful

HH

 

[Doctor Bob]

What nerve blocks do you guys feel are invaluable to your practice (aside from the more obvious digital blocks)? I've only learned a few blocks so far, but want to expand my knowledge and armamentarium when i get back to the ED from my off-service months.

Inferior Alveolar- for some reason the people in the community think we're a dentist office and show up because of toothaches, in numbers I've never seen at any other hospital. I love this block for them.

 

[Jeff698]

Off the topic of blocks for a bit (sort of), I've been using plain old LET/EMLA for smallish chin/facial lacs lately and have had very good response. Allows me to avoid a block at all. I've found the key is making sure the goop gets deep into the tissue.

Take care,
Jeff

 

[EvoDevo]

Off the topic of blocks for a bit (sort of), I've been using plain old LET/EMLA for smallish chin/facial lacs lately and have had very good response. Allows me to avoid a block at all. I've found the key is making sure the goop gets deep into the tissue.

Take care,
Jeff

I've found the same thing with smallish facial/chin lacs. And it avoids the whole "I'm bringing a needle really close to your face" issue. For lip lacs I like the mental nerve block. And wrt hand stuff, I just did my first ulnar block the other day and it worked like a charm. I was so pumped.