Nerve block: upper extremity - Revision history

Danbot: Danbot moved page Nerve Block: Upper Extremity to Nerve block: upper extremity without leaving a redirect: Naming convention: first word capitalized, subsequent words lowercase

2026-03-22T05:33:30Z

Danbot moved page Nerve Block: Upper Extremity to Nerve block: upper extremity without leaving a redirect: Naming convention: first word capitalized, subsequent words lowercase

← Older revision	Revision as of 05:33, 22 March 2026
(No difference)

Mholtz at 00:15, 25 December 2016

2016-12-25T00:15:25Z

← Older revision		Revision as of 00:15, 25 December 2016
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	==See Also==		==See Also==
	*[[Nerve ~~Blocks~~ (~~Main~~)]]		*[[Nerve blocks (main)]]
	*[[Local ~~Anesthetic Systemic Toxicity (LAST)~~]]		*[[Local anesthetic systemic toxicity]]

	==References==		==References==

Rossdonaldson1: Text replacement - "epi," to "epinephrine,"

2016-08-04T00:17:02Z

Text replacement - "epi," to "epinephrine,"

← Older revision		Revision as of 00:17, 4 August 2016
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	*5-10 mL Syringe		*5-10 mL Syringe
	*25-27 gauge needle		*25-27 gauge needle
	*Local anesthetic (lidocaine without ~~epi~~, bupivacaine)		*Local anesthetic (lidocaine without epinephrine, bupivacaine)
	*Sterile gloves		*Sterile gloves
	*Sterile drape		*Sterile drape

Ostermayer: Text replacement - "Category:Ortho" to "Category:Orthopedics"

2016-03-22T15:47:43Z

Text replacement - "Category:Ortho" to "Category:Orthopedics"

← Older revision		Revision as of 15:47, 22 March 2016
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	[[Category:Procedures]]		[[Category:Procedures]]
	[[Category:~~Ortho~~]]		[[Category:Orthopedics]]

Mholtz at 10:18, 9 August 2015

2015-08-09T10:18:01Z

← Older revision		Revision as of 10:18, 9 August 2015
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	==Procedure==		==Procedure==
	#Obtain informed consent		*Obtain informed consent
	#Perform and document a thorough neurovascular examination of the extremity		*Perform and document a thorough neurovascular examination of the extremity
	#Draw up your anesthetic and load a 25-27 gauge needle		*Draw up your anesthetic and load a 25-27 gauge needle
	~~#position~~ the patient ~~so that they are comfortable~~, placing the ~~patients~~ arm on a Mayo stand ~~to help, you may also want a small towel roll to help extend the wrist~~		*Position the patient in position of comfort, placing the arm on a Mayo stand

	===For Median Nerve block===		===For Median Nerve block===

Mholtz at 10:15, 9 August 2015

2015-08-09T10:15:40Z

← Older revision		Revision as of 10:15, 9 August 2015
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			==Background==
			*Provides anesthesia in a larger area for wound exploration, irrigation, and repair without distorting local anatomy

	==Indications==		==Indications==
	~~Greater pain relief~~ in ~~a larger~~ area ~~for wound exploration, irrigation, and repair without distoring local anatomy~~		*Upper extremity fracture
			*Serious trauma/injury or need to perform painful procedure in area covered by distribution of nerve to be blocked

	==Contraindications==		==Contraindications==
	#allergic reaction to anesthetic		*Infection overlying injection site
	~~#patients with proximal~~ vascular ~~grafts~~ or AV ~~fistulas~~		*Previous allergic reaction to anesthetic
	~~#overlying skin infection~~		*Proximal vascular graft or AV fistula

	==Equipment Needed==		==Equipment Needed==
	#Syringe		*Chlorhexidine or betadine
	~~#18 gauge needle~~		*5-10 mL Syringe
	#25-27 gauge needle		*25-27 gauge needle
	~~#chlorhexadine~~		*Local anesthetic (lidocaine without epi, bupivacaine)
	~~#sterile gloves~~		*Sterile gloves
	#Local ~~Anesthetic~~ (lidocaine without epi, bupivacaine)		*Sterile drape
	~~#sterile drapes~~
	~~#gauze~~
	~~#bandage~~

	==Procedure==		==Procedure==
Line 39:		Line 40:

	==Complications==		==Complications==
	~~#infection~~		*Infection
	~~#hematoma~~		*Hematoma
	~~#nerve~~ injury		*Nerve injury
	~~#vascular~~ injury		*Vascular injury

	~~==Source==~~
	~~emedicine~~

	==See Also==		==See Also==
	*[[Nerve Blocks (Main)]]		*[[Nerve Blocks (Main)]]
			*[[Local Anesthetic Systemic Toxicity (LAST)]]

			==References==
			<References/>

	[[Category:Procedures]]		[[Category:Procedures]]
	[[Category:Ortho]]		[[Category:Ortho]]

Rossdonaldson1: /* Source */

2014-01-03T07:27:27Z

Source

← Older revision		Revision as of 07:27, 3 January 2014
Line 46:		Line 46:
	==Source==		==Source==
	emedicine		emedicine

			==See Also==
			*[[Nerve Blocks (Main)]]

	[[Category:Procedures]]		[[Category:Procedures]]
	[[Category:Ortho]]		[[Category:Ortho]]

Rossdonaldson1 at 19:12, 9 June 2011

2011-06-09T19:12:30Z

← Older revision		Revision as of 19:12, 9 June 2011
Line 48:		Line 48:

	[[Category:Procedures]]		[[Category:Procedures]]
			[[Category:Ortho]]

Rossdonaldson1 at 13:44, 12 March 2011

2011-03-12T13:44:42Z

← Older revision		Revision as of 13:44, 12 March 2011
Line 1:		Line 1:
	==Indications==		==Indications==
			Greater pain relief in a larger area for wound exploration, irrigation, and repair without distoring local anatomy

	* greater pain relief in a larger area for wound exploration, irrigation, and repair without distoring local anatomy


	==Contraindications==		==Contraindications==
			#allergic reaction to anesthetic
			#patients with proximal vascular grafts or AV fistulas
	* allergic reaction to anesthetic		#overlying skin infection
	* patients with proximal vascular grafts or AV fistulas
	* overlying skin infection


	==Equipment Needed==		==Equipment Needed==
			#Syringe
			#18 gauge needle
	* Syringe		#25-27 gauge needle
	* 18 gauge needle		#chlorhexadine
	* 25-27 gauge needle		#sterile gloves
	* chlorhexadine		#Local Anesthetic (lidocaine without epi, bupivacaine)
	* sterile gloves		#sterile drapes
	* Local Anesthetic (lidocaine without epi, bupivacaine)		#gauze
	* sterile drapes		#bandage
	* gauze
	* bandage


	~~==Anatomy==~~




	~~Median Nerve Distribution:~~



	~~Radial Nerve Distribution:~~



	~~== ==~~


	==Procedure==		==Procedure==
			#Obtain informed consent
			#Perform and document a thorough neurovascular examination of the extremity
			#Draw up your anesthetic and load a 25-27 gauge needle
			#position the patient so that they are comfortable, placing the patients arm on a Mayo stand to help, you may also want a small towel roll to help extend the wrist

			===For Median Nerve block===
			#Locate the palmaris longus (PL) and the flexor carpi radialis (FCR) tendons
			#you can have the patient flex the middle finger against resistance or pinch their thump and pinky together to help highlight these tendons
			#some patients do not have PL but you can estimate its general location by going 5 mm medially to the FCR (~midpoint of the wrist)
			#Prep the skin and drape it in sterile fashion
			#Insert the needle perpendicular to the skin between the PL and FCR tendons 2-3 cm proximal to the distal crease of the wrist to a depth of 1-2cm
			#aspirate and then inject 3-5cc of anesthetic then remove needle
			#allow anesthetic to sit ~10 minutes prior to performing procedure

	* Obtain informed consent		===For Radial Nerve Block===
	* Perform and document a thorough neurovascular examination of the extremity		#locate the radial styloid and prep and drape area sterily
	* Draw up your anesthetic and load a 25-27 gauge needle		#inject 5cc of anethetic just above the radial styloid aiming medially
	* position the patient so that they are comfortable, placing the patients arm on a Mayo stand to help, you may also want a small towel roll to help extend the wrist		#extend infiltration laterally using an aditional 5cc of anesthetic
	~~For Median Nerve block:~~



	* Locate the palmaris longus (PL) and the flexor carpi radialis (FCR) tendons
	* you can have the patient flex the middle finger against resistance or pinch their thump and pinky together to help highlight these tendons
	* some patients do not have PL but you can estimate its general location by going 5 mm medially to the FCR (~midpoint of the wrist)
	* Prep the skin and drape it in sterile fashion
	* Insert the needle perpendicular to the skin between the PL and FCR tendons 2-3 cm proximal to the distal crease of the wrist to a depth of 1-2cm
	* aspirate and then inject 3-5cc of anesthetic then remove needle
	* allow anesthetic to sit ~10 minutes prior to performing procedure
	For Radial Nerve Block:



	* locate the radial styloid and prep and drape area sterily
	* inject 5cc of anethetic just above the radial styloid aiming medially
	* extend infiltration laterally using an aditional 5cc of anesthetic


	==Complications==		==Complications==
			#infection
			#hematoma
	* infection		#nerve injury
	* hematoma		#vascular injury
	* nerve injury
	* vascular injury


	==Source==		==Source==


	emedicine		emedicine




	[[Category:Procedures]]		[[Category:Procedures]]

Robot: Created page with "==Indications== * greater pain relief in a larger area for wound exploration, irrigation, and repair without distoring local anatomy ==Contraindications== * allergic react..."

2010-10-29T23:16:30Z

Created page with "==Indications== * greater pain relief in a larger area for wound exploration, irrigation, and repair without distoring local anatomy ==Contraindications== * allergic react..."

New page

==Indications==

* greater pain relief in a larger area for wound exploration, irrigation, and repair without distoring local anatomy

==Contraindications==

* allergic reaction to anesthetic
* patients with proximal vascular grafts or AV fistulas
* overlying skin infection

==Equipment Needed==

* Syringe
* 18 gauge needle
* 25-27 gauge needle
* chlorhexadine
* sterile gloves
* Local Anesthetic (lidocaine without epi, bupivacaine)
* sterile drapes
* gauze
* bandage

==Anatomy==

Median Nerve Distribution:

Radial Nerve Distribution:

== ==

==Procedure==

* Obtain informed consent
* Perform and document a thorough neurovascular examination of the extremity
* Draw up your anesthetic and load a 25-27 gauge needle
* position the patient so that they are comfortable, placing the patients arm on a Mayo stand to help, you may also want a small towel roll to help extend the wrist
For Median Nerve block:

* Locate the palmaris longus (PL) and the flexor carpi radialis (FCR) tendons
* you can have the patient flex the middle finger against resistance or pinch their thump and pinky together to help highlight these tendons
* some patients do not have PL but you can estimate its general location by going 5 mm medially to the FCR (~midpoint of the wrist)
* Prep the skin and drape it in sterile fashion
* Insert the needle perpendicular to the skin between the PL and FCR tendons 2-3 cm proximal to the distal crease of the wrist to a depth of 1-2cm
* aspirate and then inject 3-5cc of anesthetic then remove needle
* allow anesthetic to sit ~10 minutes prior to performing procedure
For Radial Nerve Block:

* locate the radial styloid and prep and drape area sterily
* inject 5cc of anethetic just above the radial styloid aiming medially
* extend infiltration laterally using an aditional 5cc of anesthetic

==Complications==

* infection
* hematoma
* nerve injury
* vascular injury

==Source==

emedicine

[[Category:Procedures]]