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Regional Anesthesia

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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.

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Regional Anesthesia

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  1. Regional Anesthesia Bucky Boaz, ARNP-C

  2. Indications • Distortion from local infiltration • Large area • Most efficacious • Extensive manipulation

  3. Preparation • Instructions • Equipment • Choice of anesthetic • Positioning the patient • Preparation of area to be blocked • Choosing the nerves to block

  4. Locating the Nerve • Landmarks • Nerve stimulator • Paresthesia

  5. Injecting the Anesthesia • No vessel or nerve bundle • Onset and duration • Amount • Failure

  6. Complications and Precautions • Nerve injury • Intravascular injection • Hematoma • Infection • Limb injury

  7. Nerve Blocks at the Wrist

  8. Nerve Blocks at the Wrist • Median nerve • Anatomy • Technique

  9. Nerve Blocks at the Wrist • Median nerve • Anatomy • Technique • Radial nerve • Anatomy • Technique

  10. Nerve Blocks at the Wrist • Median nerve • Anatomy • Technique • Radial nerve • Anatomy • Technique • Ulnar nerve • Anatomy • Technique

  11. Nerve Blocks of the Digits

  12. Nerve Blocks of the Digits • Anatomy

  13. Nerve Blocks of the Digits • Anatomy • Technique • Dorsal approach

  14. Nerve Blocks of the Digits • Anatomy • Technique • Dorsal approach • Ring block

  15. Nerve Blocks of the Digits • Anatomy • Technique • Dorsal approach • Ring block • Palm approach

  16. Nerve Blocks of the Digits • Anatomy • Technique • Dorsal approach • Ring block • Palm approach • Web space approach

  17. Nerve Blocks of the Digits • Complications • Precautions

  18. Nerve Blocks of the Lower Extremity

  19. Nerve Blocks of the Lower Extremity • Ankle • Metatarsals • Toes

  20. Nerve Blocks of the Ankle

  21. Nerve Blocks of the Ankle • Anatomy

  22. Nerve Blocks of the Ankle

  23. Nerve Blocks of the Ankle • Anatomy • Technique • Posterior tibial

  24. Nerve Blocks of the Ankle • Anatomy • Technique • Posterior tibial • Sural nerve

  25. Nerve Blocks of the Metatarsals and Toes • Anatomy

  26. Nerve Blocks of the Metatarsals and Toes • Anatomy • Technique • Metatarsals • Interdigital web spaces • Toes

  27. Nerve Blocks of the Metatarsals and Toes • Anatomy • Technique • Metatarsals • Interdigital web spaces • Toes • Complications and precautions

  28. Regional Anesthesia of the Head

  29. Regional Anesthesia of the Head • Anatomy of the fifth cranial (trigeminal) nerve • Ophthalmic nerve • Maxillary nerve • Mandibular nerve • Equiptment • Precautions

  30. Types of Blocks • Topical anesthesia • Supraperiosteal infiltrations • Infraorbital Nerve Block • Inferior Alveolar Nerve Block • Mental Nerve Block • Scalp Block • Opthalmic (V1) Nerve Block

  31. Infraorbital Nerve Block • Anatomy • Intraoral approach • Extraoral approach

  32. Inferior Alveolar Nerve Block • Anatomy • Approach • Complications

  33. Mental Nerve Block • Anatomy • Approaches

  34. Scalp Block • Anatomy • Approaches

  35. Ophthalmic (V1) Nerve Block • Anatomy • Approach

  36. Questions?

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