Download Blocks at the Wrist

Survey
yes no Was this document useful for you?
   Thank you for your participation!

* Your assessment is very important for improving the work of artificial intelligence, which forms the content of this project

Document related concepts

Anatomy wikipedia, lookup

Anatomical terminology wikipedia, lookup

Anatomical terms of location wikipedia, lookup

History of anatomy wikipedia, lookup

Tendon wikipedia, lookup

Transcript
Blocks at the Wrist
Indication:
 Surgery of the hand, rescue blocks
Position:
 The arm is placed with the palm facing up.
Ulnar Nerve Block at the Wrist
Anatomy:
 The ulnar nerve lies below the flexor carpi ulnaris tendon and medial to the ulnar artery.
Procedure:




Mark a point 5cm above the wrist crease.
Insert the needle posterior to the flexor carpi ulnaris tendon.
Obtain adduction of the thumb and little finger at < 0.5mA and inject.
Inject 5mL of local anesthetic.
Median Nerve Block at the Wrist
Anatomy:
 The median nerve lies lateral to the palmaris longus tendon and medial to the flexor carpi
radialis tendon.
Procedure:




Mark a point 5cm proximal to the wrist crease.
Insert the needle just lateral to the palmaris longus tendon.
Obtain flexion of the fingers and wrist at <0.5mA.
Inject 5mL of local anesthetic.
Radial Nerve Block at the Wrist
 No nerve stimulator is necessary for this block.
 Using a 25G 1.5” short bevel needle inject 5mL of local anesthetic solution in a fan
shaped manner proximal to the anatomical snuff box.