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Regional Anesthesia Bucky Boaz, ARNP-C. Indications  Distortion from local infiltration  Large area  Most efficacious  Extensive manipulation.

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Presentation on theme: "Regional Anesthesia Bucky Boaz, ARNP-C. Indications  Distortion from local infiltration  Large area  Most efficacious  Extensive manipulation."— Presentation transcript:

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  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  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  Ankle  Metatarsals  Toes

20 Nerve Blocks of the Ankle

21  Anatomy

22 Nerve Blocks of the Ankle

23  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  Anatomy of the fifth cranial (trigeminal) nerve 1.Ophthalmic nerve 2.Maxillary nerve 3.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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