Regional Anesthesia

Bucky Boaz, ARNP-C

Indications
Distortion from local

infiltration Large area Most efficacious Extensive manipulation

Preparation
Instructions

Equipment
Choice of anesthetic

Positioning the patient

Preparation of area to be blocked Choosing the nerves to block

Locating the Nerve

Landmarks

Nerve stimulator
Paresthesia

Injecting the Anesthesia

No vessel or nerve bundle

Onset and duration

Amount

Failure

Complications and Precautions

Nerve injury

Intravascular injection
Hematoma

Infection
Limb injury

Nerve Blocks at the Wrist

Nerve Blocks at the Wrist

Median nerve Anatomy Technique

Nerve Blocks at the Wrist

Median nerve Anatomy Technique Radial nerve Anatomy Technique

Nerve Blocks at the Wrist

Median nerve Anatomy Technique Radial nerve Anatomy Technique Ulnar nerve Anatomy Technique

Nerve Blocks of the Digits

Nerve Blocks of the Digits

Anatomy

Nerve Blocks of the Digits

Anatomy

Technique Dorsal approach

Nerve Blocks of the Digits

Anatomy

Technique Dorsal approach Ring block

Nerve Blocks of the Digits

Anatomy

Technique Dorsal approach Ring block Palm approach

Nerve Blocks of the Digits

Anatomy

Technique Dorsal approach Ring block Palm approach Web space approach

Nerve Blocks of the Digits

Complications

Precautions

Nerve Blocks of the Lower Extremity

Nerve Blocks of the Lower Extremity

Ankle

Metatarsals
Toes

Nerve Blocks of the Ankle

Nerve Blocks of the Ankle

Anatomy

Nerve Blocks of the Ankle

Nerve Blocks of the Ankle

Anatomy

Technique Posterior tibial

Nerve Blocks of the Ankle

Anatomy

Technique Posterior tibial Sural nerve

Nerve Blocks of the Metatarsals and Toes

Anatomy

Nerve Blocks of the Metatarsals and Toes

Anatomy

Technique Metatarsals Interdigital web spaces Toes

Nerve Blocks of the Metatarsals and Toes

Anatomy

Technique Metatarsals Interdigital web spaces Toes

Complications and

precautions

Regional Anesthesia of the Head

Regional Anesthesia of the Head

Anatomy of the fifth

cranial (trigeminal) nerve

1. Ophthalmic nerve 2. Maxillary nerve 3. Mandibular nerve

Equiptment Precautions

Types of Blocks
Topical anesthesia

Supraperiosteal

infiltrations Infraorbital Nerve Block Inferior Alveolar Nerve Block Mental Nerve Block Scalp Block Opthalmic (V1) Nerve Block

Infraorbital Nerve Block

Anatomy

Intraoral approach
Extraoral approach

Inferior Alveolar Nerve Block

Anatomy

Approach
Complications

Mental Nerve Block

Anatomy

Approaches

Scalp Block
Anatomy

Approaches

Ophthalmic (V1) Nerve Block

Anatomy

Approach

Questions?