Indications Cervical epidural steroid injection (ESI) is primarily used to treat pain arising from cervical herniated discs or spinal stenosis. Techniques After informed consent is obtained, the patient is placed in the prone, lateral decubitus, or sitting position with the neck flexed. The sitting position, with the head resting on the examination table, provides better […]
Category Archives: Nerve Block
Tiếng Việt >> Indication Stellate ganglion blockade is useful for diagnosing and treating pain of sympathetic origin. This includes pain involving the face, head, neck, and upper extremities secondary to complex regional pain syndrome, acute herpes zoster, and phantom limb pain. Techniques After informed consent is obtained, the patient is placed in the supine position […]
Tiếng Việt >> Indication The occipital nerve blockade is used both diagnostically and therapeutically in the treatment of occipital neuralgia. Techniques After informed consent is obtained, the patient is placed in the sitting position with the head flexed forward. The occipital nerve is located at the midpoint between the mastoid process and the greater occipital […]
Tiếng Việt >> General The placement of local anesthetics at various sites along the neural axis is an important tool in the diagnosis and treatment of a variety of pain disorders, such as complex regional pain syndrome and postherpetic neuralgia. Peripheral nerve blocks also can provide muscle relaxation and pain relief to facilitate an active […]
The injection procedures described here are associated with various side effects, although the risk for significant complications is very low. The physician who performs injection procedures should have the training and education to recognize and treat a wide range of potential complications (Table 67-4). Advanced cardiac life support (ACLS) protocols are used in airway management […]
Injection procedures use three primary classes of medication: local anesthetic agents, neurolytic agents, and corticosteroids. All of these medications have multiple clinical applications and are documented to be safe and effective when used appropriately. It is incumbent on the practitioner to understand the efficacy, complications, and common side effects of these agents. Anesthetic Agents The […]
Injection of medications in proximity to nerves, muscles, and skeletal structures (bursae, joints, and tendons) provides an important intervention in the management of pain and dysfunction. These medications can provide analgesia, reduce inflammation of the affected structure, and promote tissue healing directly and indirectly through facilitation of rehabilitation. Commonly, local anesthetics are used for immediate […]
Introduction Clinicians in the emergency department and other acute care settings frequently encounter patients who have sustained trauma to the lower leg or foot and require anesthesia for repair. Regional block of the saphenous nerve, a pure sensory nerve of the leg, allows for rapid anesthetization of the anteromedial lower extremity, including the medial malleolus. […]
Introduction Emergency practitioners and other clinicians working in acute care settings frequently encounter patients who have trauma to or pathology of the dorsum of the foot and require anesthesia for treatment and repair. Regional block of the superficial peroneal nerve allows for rapid anesthetization of the dorsum of the foot, which allows for management of lacerations, fractures, […]
<< Posterior Tibial Nerve Block Technique Explain the procedure, benefits, risks, and complications to the patient and/or patient’s representative, and inform the patient of the possibility of paresthesia during the procedure. Obtain informed consent in accordance with hospital protocol. Perform and document neurovascular and musculoskeletal examinations prior to the procedure. Testing the posterior tibial nerve […]
