Digital Block - Revision history

TravisN at 17:20, 9 October 2020

2020-10-09T17:20:34Z

← Older revision		Revision as of 17:20, 9 October 2020
Line 8:		Line 8:
	#insert needle directly superior to lateral nerves and inject both nerves then repeat on medial nerves.		#insert needle directly superior to lateral nerves and inject both nerves then repeat on medial nerves.

	Neither method is superior, though the first method has less theoretical risk of vascular damage.		Neither method is superior, though the first method has less theoretical risk of vascular damage. Traditionally anasthetic preparations with epinephrine were avoided due to risk of digital ischemia. A recent literature review of 2800 cases of digital block concluded that epinephrine is safe to use in digital blocks as epinephrine-induced vasoconstriction rarely occurred, and was transient if present.

	~~Do not use epinephrine.~~

	===Resources/References===		===Resources/References===
	*Latham, J. and Martin, S. [https://www.aafp.org/afp/2014/0615/p956.html Infiltrative Anesthesia in Office Practice]. Am Fam Physician. 2014 Jun 15;89(12):956-962.		*Latham, J. and Martin, S. [https://www.aafp.org/afp/2014/0615/p956.html Infiltrative Anesthesia in Office Practice]. Am Fam Physician. 2014 Jun 15;89(12):956-962.

			Ilicki J. Safety of Epinephrine in Digital Nerve Blocks: A Literature Review. J Emerg Med. 2015 Nov;49(5):799-809. doi: 10.1016/j.jemermed.2015.05.038. Epub 2015 Aug 4. PMID: 26254284.

	[[Common ED Procedures]]		[[Common ED Procedures]]

JenniferH: /* Resources/References */

2020-10-07T19:42:32Z

Resources/References

← Older revision		Revision as of 19:42, 7 October 2020
Line 13:		Line 13:

	===Resources/References===		===Resources/References===
	*https://www.aafp.org/afp/2014/0615/p956.html		*Latham, J. and Martin, S. [https://www.aafp.org/afp/2014/0615/p956.html Infiltrative Anesthesia in Office Practice]. Am Fam Physician. 2014 Jun 15;89(12):956-962.

	[[Common ED Procedures]]		[[Common ED Procedures]]

JenniferH at 19:41, 7 October 2020

2020-10-07T19:41:20Z

← Older revision		Revision as of 19:41, 7 October 2020
Line 1:		Line 1:
	[[file:Digital_Block.jpg\|right\|~~300px~~]]		[[file:Digital_Block.jpg\|right\|400px]]
	Digital block is a safe and effective form of regional anesthesia. It is indicated for analgesia of laceration, fracture, infection or nail injury.		Digital block is a safe and effective form of regional anesthesia. It is indicated for analgesia of laceration, fracture, infection or nail injury.

JenniferH at 19:40, 7 October 2020

2020-10-07T19:40:56Z

← Older revision		Revision as of 19:40, 7 October 2020
Line 1:		Line 1:
			[[file:Digital_Block.jpg\|right\|300px]]
	Digital block is a safe and effective form of regional anesthesia. It is indicated for analgesia of laceration, fracture, infection or nail injury.		Digital block is a safe and effective form of regional anesthesia. It is indicated for analgesia of laceration, fracture, infection or nail injury.

JenniferH: Created page with "Digital block is a safe and effective form of regional anesthesia. It is indicated for analgesia of laceration, fracture, infection or nail injury. Complications include dam..."

2020-10-07T19:39:54Z

Created page with "Digital block is a safe and effective form of regional anesthesia. It is indicated for analgesia of laceration, fracture, infection or nail injury. Complications include dam..."

New page

Digital block is a safe and effective form of regional anesthesia. It is indicated for analgesia of laceration, fracture, infection or nail injury.

Complications include damage to digital vasculature or nerves.

The digital nerves run in the four corners of the finger. There are two methods of digital block:
#insert needle at 12 o’clock position and angle towards digital nerves, then at 6 o’clock and angle towards inferior digital nerves
#insert needle directly superior to lateral nerves and inject both nerves then repeat on medial nerves.

Neither method is superior, though the first method has less theoretical risk of vascular damage.

Do not use epinephrine.

===Resources/References===
*https://www.aafp.org/afp/2014/0615/p956.html

[[Common ED Procedures]]