Digital Nerve Blocks: A Comprehensive Review of Techniques.
Nerve block
digital block
dorsal web space block
ring block
subcutaneous block
transthecal block
volar
Journal
The Journal of emergency medicine
ISSN: 0736-4679
Titre abrégé: J Emerg Med
Pays: United States
ID NLM: 8412174
Informations de publication
Date de publication:
10 2022
10 2022
Historique:
received:
11
03
2022
revised:
19
05
2022
accepted:
09
07
2022
pubmed:
14
10
2022
medline:
7
12
2022
entrez:
13
10
2022
Statut:
ppublish
Résumé
Finger and toe injuries are a common reason for presentation to the emergency department. In order to properly care for these injuries, it is valuable for emergency medicine clinicians to be aware of the different approaches to anesthetize the digit. We searched the literature using PubMed to determine the different techniques and supporting data for digital nerve blockades. The primary digital nerve block techniques include the dorsal web space block, transthecal block, volar subcutaneous block, and the circumferential (three-sided and four-sided) ring block. Success rates range from 60% to 100%. There are unique advantages and limitations of each block that are important to consider. There are a number of options at the disposal of the emergency medicine clinician for anesthesia of the finger and toe. This article summarizes the key techniques, variations on these techniques, advantages, and disadvantages for each approach.
Sections du résumé
BACKGROUND
Finger and toe injuries are a common reason for presentation to the emergency department. In order to properly care for these injuries, it is valuable for emergency medicine clinicians to be aware of the different approaches to anesthetize the digit.
METHODS
We searched the literature using PubMed to determine the different techniques and supporting data for digital nerve blockades.
DISCUSSION
The primary digital nerve block techniques include the dorsal web space block, transthecal block, volar subcutaneous block, and the circumferential (three-sided and four-sided) ring block. Success rates range from 60% to 100%. There are unique advantages and limitations of each block that are important to consider.
CONCLUSIONS
There are a number of options at the disposal of the emergency medicine clinician for anesthesia of the finger and toe. This article summarizes the key techniques, variations on these techniques, advantages, and disadvantages for each approach.
Identifiants
pubmed: 36229322
pii: S0736-4679(22)00428-0
doi: 10.1016/j.jemermed.2022.07.002
pii:
doi:
Substances chimiques
Anesthetics, Local
0
Types de publication
Review
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
533-540Informations de copyright
Copyright © 2022 Elsevier Inc. All rights reserved.