Abstract
Bony and soft tissue injuries that necessitate emergency department evaluation/intervention can be extremely painful and be associated with much patient apprehension. Various anesthetic procedures can be implemented to diminish patient discomfort, potentially leading to heightened overall outcomes. Performance requires a thorough understanding of the relevant procedural anatomy, pertinent technical skills, and the avoidance of possible barriers/pitfalls that can taper results. The following chapter will communicate a fundamental physiologic background of regional/local anesthesia, indications for utilization, a stepwise guide toward implementing a multitude of various anatomic anesthetic blocks, as well as key obstacles to elude during planning/execution. Advanced technique(s) regarding nociception for more significant injuries and/or desire for augmented pain relief are also categorically addressed.
| Original language | English |
|---|---|
| Title of host publication | Emergency Orthopedics Handbook |
| Publisher | Springer International Publishing |
| Pages | 41-77 |
| Number of pages | 37 |
| ISBN (Electronic) | 9783030007072 |
| ISBN (Print) | 9783030007065 |
| DOIs | |
| State | Published - 4 Apr 2019 |
| Externally published | Yes |
Keywords
- Achilles tendon
- Anesthesia
- Anterior ankle block: tibialis anterior tendon
- Digital nerve block: flexor tendon sheath
- Flexor carpi radialis tendon
- Local infiltration
- Median nerve block: palmaris longus tendon
- Nociception
- Posterior ankle block: sural nerve
- Posterior tibial artery
- Radial nerve block: anatomic "snuffbox"
- Regional nerve block
- Ulnar nerve block: palmar/dorsal sensory branch