Nerve block: perianal block - Revision history

Ostermayer: Prepared the page for translation

2026-01-04T23:48:05Z

Prepared the page for translation

← Revisión anterior		Revisión del 23:48 4 ene 2026
Línea 1:		Línea 1:
			<languages/>
			<translate>

	==Overview==		==Overview==

	[[File:Gray542.png\|thumb\|Perineal innervation.]]		[[File:Gray542.png\|thumb\|Perineal innervation.]]
	*Perianal blocks have been shown to be comparable to general anesthesia for in terms of pain control in anal procedures including surgeries <ref>Gerjy, R. et al. Randomized clinical trial of stapled haemorrhoidopexy performed under local perianal block versus general anaesthesia. Br J Surgy. 2008; 95(11):1344-51.</ref>		*Perianal blocks have been shown to be comparable to general anesthesia for in terms of pain control in anal procedures including surgeries <ref>Gerjy, R. et al. Randomized clinical trial of stapled haemorrhoidopexy performed under local perianal block versus general anaesthesia. Br J Surgy. 2008; 95(11):1344-51.</ref>
	*"Perianal block is a safe, feasible, reliable, and reproducible mode of anesthesia." <ref>Bharathi, R. et al. Evidence based switch to perianal block for ano-rectal surgeries. International Journal of Surgery. 2010; 8:29–31</ref>		*"Perianal block is a safe, feasible, reliable, and reproducible mode of anesthesia." <ref>Bharathi, R. et al. Evidence based switch to perianal block for ano-rectal surgeries. International Journal of Surgery. 2010; 8:29–31</ref>


	==Indications==		==Indications==
	*[[Rectal foreign body]] removal
	*[[External hemorrhoid excision]]		*[[Special:MyLanguage/Rectal foreign body\|Rectal foreign body]] removal
	*[[Rectal prolapse]]		*[[Special:MyLanguage/External hemorrhoid excision\|External hemorrhoid excision]]
	*[[Anorectal abscess]]		*[[Special:MyLanguage/Rectal prolapse\|Rectal prolapse]]
			*[[Special:MyLanguage/Anorectal abscess\|Anorectal abscess]]


	==Contraindications==		==Contraindications==

	*Overlying infection		*Overlying infection
	*Allergy to chosen anesthetic		*Allergy to chosen anesthetic
	*Uncooperative patient		*Uncooperative patient


	==Equipment Needed==		==Equipment Needed==

	*20 cc Syringe with a 27 Gauge Needle		*20 cc Syringe with a 27 Gauge Needle
	*Spare 18 Gauge Needle (to draw up anesthetic)		*Spare 18 Gauge Needle (to draw up anesthetic)
	*Local Anesthetic (e.g. [[Lidocaine]] or [[Bupivacaine]])		*Local Anesthetic (e.g. [[Special:MyLanguage/Lidocaine\|Lidocaine]] or [[Special:MyLanguage/Bupivacaine\|Bupivacaine]])
	*Silk Tape		*Silk Tape
	*Pillow or Blankets		*Pillow or Blankets
	*Packaged, Moist Towelette		*Packaged, Moist Towelette


	==Procedure<ref>Nystrom, PO. et al. Local perianal block for anal surgery. Tech Coloproctol. 2004; 8(1):23-6</ref>==		==Procedure<ref>Nystrom, PO. et al. Local perianal block for anal surgery. Tech Coloproctol. 2004; 8(1):23-6</ref>==

	*Obtain informed consent		*Obtain informed consent
	*Place the patient in the prone position, placing either a pillow or blankets under their hips for comfort and ideal positioning		*Place the patient in the prone position, placing either a pillow or blankets under their hips for comfort and ideal positioning
Línea 33:		Línea 45:
	*Aspirate to rule out intravascular placement prior to injecting 3 -5 mL of anesthetic		*Aspirate to rule out intravascular placement prior to injecting 3 -5 mL of anesthetic
	*Continue to the other preselected areas, fanning the needle circumferentially in order to surround the anal area with local anesthetic		*Continue to the other preselected areas, fanning the needle circumferentially in order to surround the anal area with local anesthetic


	==Complications==		==Complications==
Línea 38:		Línea 51:

	==See Also==		==See Also==
	*[[Nerve and regional blocks (main)]]
			*[[Special:MyLanguage/Nerve and regional blocks (main)\|Nerve and regional blocks (main)]]


	==External Links==		==External Links==
Línea 44:		Línea 59:

	==References==		==References==

	<References/>		<References/>

	[[Category:Procedures]]		[[Category:Procedures]]
	[[Category:GI]]		[[Category:GI]]
			</translate>

Rossdonaldson1: Rossdonaldson1 moved page Perianal block to Nerve block: perianal block

2022-09-28T19:26:32Z

Rossdonaldson1 moved page Perianal block to Nerve block: perianal block

← Revisión anterior	Revisión del 19:26 28 sep 2022
(Sin diferencias)

Rossdonaldson1: /* Overview */

2021-06-12T19:39:15Z

Overview

← Revisión anterior		Revisión del 19:39 12 jun 2021
Línea 1:		Línea 1:
	==Overview==		==Overview==
			[[File:Gray542.png\|thumb\|Perineal innervation.]]
	*Perianal blocks have been shown to be comparable to general anesthesia for in terms of pain control in anal procedures including surgeries <ref>Gerjy, R. et al. Randomized clinical trial of stapled haemorrhoidopexy performed under local perianal block versus general anaesthesia. Br J Surgy. 2008; 95(11):1344-51.</ref>		*Perianal blocks have been shown to be comparable to general anesthesia for in terms of pain control in anal procedures including surgeries <ref>Gerjy, R. et al. Randomized clinical trial of stapled haemorrhoidopexy performed under local perianal block versus general anaesthesia. Br J Surgy. 2008; 95(11):1344-51.</ref>
	*"Perianal block is a safe, feasible, reliable, and reproducible mode of anesthesia." <ref>Bharathi, R. et al. Evidence based switch to perianal block for ano-rectal surgeries. International Journal of Surgery. 2010; 8:29–31</ref>		*"Perianal block is a safe, feasible, reliable, and reproducible mode of anesthesia." <ref>Bharathi, R. et al. Evidence based switch to perianal block for ano-rectal surgeries. International Journal of Surgery. 2010; 8:29–31</ref>

Rossdonaldson1: /* See Also */

2017-02-14T12:18:05Z

Mholtz: Mholtz moved page Perianal Block to Perianal block

2017-02-06T05:15:25Z

Mholtz moved page Perianal Block to Perianal block

← Revisión anterior	Revisión del 05:15 6 feb 2017
(Sin diferencias)

Mholtz at 05:14, 6 February 2017

2017-02-06T05:14:38Z

← Revisión anterior		Revisión del 05:14 6 feb 2017
Línea 1:		Línea 1:
	==Overview==		==Overview==
	* Perianal blocks have been shown to be comparable to general anesthesia for in terms of pain control in anal procedures including surgeries <ref>Gerjy, R. et al. Randomized clinical trial of stapled haemorrhoidopexy performed under local perianal block versus general anaesthesia. Br J Surgy. 2008; 95(11):1344-51.</ref>		*Perianal blocks have been shown to be comparable to general anesthesia for in terms of pain control in anal procedures including surgeries <ref>Gerjy, R. et al. Randomized clinical trial of stapled haemorrhoidopexy performed under local perianal block versus general anaesthesia. Br J Surgy. 2008; 95(11):1344-51.</ref>
	* "Perianal block is a safe, feasible, reliable, and reproducible mode of anesthesia." <ref>Bharathi, R. et al. Evidence based switch to perianal block for ano-rectal surgeries. International Journal of Surgery. 2010; 8:29–31</ref>		*"Perianal block is a safe, feasible, reliable, and reproducible mode of anesthesia." <ref>Bharathi, R. et al. Evidence based switch to perianal block for ano-rectal surgeries. International Journal of Surgery. 2010; 8:29–31</ref>

	==Indications==		==Indications==
	* [[Rectal foreign body~~\|Rectal Foreign Body Removal~~]]		*[[Rectal foreign body]] removal
	* [[External hemorrhoid excision]]		*[[External hemorrhoid excision]]
	* [[Rectal prolapse]]		*[[Rectal prolapse]]
	*[[Anorectal abscess]]		*[[Anorectal abscess]]

	==Contraindications==		==Contraindications==
	* Overlying ~~Infection~~		*Overlying infection
	* Allergy to ~~Chosen Anesthetic~~		*Allergy to chosen anesthetic
	* Uncooperative ~~Patient~~		*Uncooperative patient

	==Equipment Needed==		==Equipment Needed==
	* 20 cc Syringe with a 27 Gauge Needle		*20 cc Syringe with a 27 Gauge Needle
	* Spare 18 Gauge Needle (to draw up anesthetic)		*Spare 18 Gauge Needle (to draw up anesthetic)
	* Local Anesthetic (e.g. [[Lidocaine]] or [[Bupivacaine]])		*Local Anesthetic (e.g. [[Lidocaine]] or [[Bupivacaine]])
	* Silk Tape		*Silk Tape
	* Pillow or Blankets		*Pillow or Blankets
	* Packaged, Moist Towelette		*Packaged, Moist Towelette

	==Procedure<ref>Nystrom, PO. et al. Local perianal block for anal surgery. Tech Coloproctol. 2004; 8(1):23-6</ref>==		==Procedure<ref>Nystrom, PO. et al. Local perianal block for anal surgery. Tech Coloproctol. 2004; 8(1):23-6</ref>==
	* Inform the patient about the procedure and potential complications		*Obtain informed consent
	* Obtain ~~Consent to perform the procedure~~		*Place the patient in the prone position, placing either a pillow or blankets under their hips for comfort and ideal positioning
	* Place the patient in the prone position, placing either a pillow or blankets under their hips for comfort and ideal positioning		*Using tape, separate the patient's buttocks from one another to better visualize the perianal area
	* Using tape, separate the patient's buttocks from one another to better visualize the perianal area		*Draw up anesthetic into 20 cc syringe using 18 Gauge Needle
	* Draw up anesthetic into ~~your~~ 20 cc syringe using ~~the spare~~ 18 Gauge Needle		*Ensure that the perianal area is clean by removing debris with moist towelette
	* Ensure that the perianal area is clean by removing debris with ~~the Moist Towelette~~		*Peripheral to the anal sphincter, choose multiple injection sites that allow for fanning circumferentially around the anus
	* Peripheral to the anal sphincter, choose multiple injection sites that allow for fanning circumferentially around the anus		*Advance 27 Gauge needle into one of these preselected areas
	* Advance ~~the syringe with the~~ 27 Gauge needle ~~attached~~ into one of these preselected areas		*Aspirate to rule out intravascular placement prior to injecting 3 -5 mL of anesthetic
	* Aspirate to rule out intravascular placement prior to injecting 3 -5 mL of anesthetic		*Continue to the other preselected areas, fanning the needle circumferentially in order to surround the anal area with local anesthetic
	* Continue to the other preselected areas, fanning the needle circumferentially in order to surround the anal area with local anesthetic

	==Complications==		==Complications==
Línea 41:		Línea 40:

	==External Links==		==External Links==


	==References==		==References==
Línea 46:		Línea 46:

	[[Category:Procedures]]		[[Category:Procedures]]
			[[Category:GI]]

Mholtz at 05:12, 6 February 2017

2017-02-06T05:12:09Z

← Revisión anterior		Revisión del 05:12 6 feb 2017
Línea 1:		Línea 1:
	=~~Background~~=		==Overview==
	* Perianal blocks have been shown to be comparable to general anesthesia for in terms of pain control in anal procedures including surgeries <ref>Gerjy, R. et al. Randomized clinical trial of stapled haemorrhoidopexy performed under local perianal block versus general anaesthesia. Br J Surgy. 2008; 95(11):1344-51.</ref>		* Perianal blocks have been shown to be comparable to general anesthesia for in terms of pain control in anal procedures including surgeries <ref>Gerjy, R. et al. Randomized clinical trial of stapled haemorrhoidopexy performed under local perianal block versus general anaesthesia. Br J Surgy. 2008; 95(11):1344-51.</ref>
	* "Perianal block is a safe, feasible, reliable, and reproducible mode of anesthesia." <ref>Bharathi, R. et al. Evidence based switch to perianal block for ano-rectal surgeries. International Journal of Surgery. 2010; 8:29–31</ref>		* "Perianal block is a safe, feasible, reliable, and reproducible mode of anesthesia." <ref>Bharathi, R. et al. Evidence based switch to perianal block for ano-rectal surgeries. International Journal of Surgery. 2010; 8:29–31</ref>
	=Indications=
			==Indications==
	* [[Rectal foreign body\|Rectal Foreign Body Removal]]		* [[Rectal foreign body\|Rectal Foreign Body Removal]]
	* [[External hemorrhoid excision]]		* [[External hemorrhoid excision]]
	* [[Rectal prolapse]]		* [[Rectal prolapse]]
	*[[Anorectal abscess]]		*[[Anorectal abscess]]
	=Contraindications=
			==Contraindications==
	* Overlying Infection		* Overlying Infection
	* Allergy to Chosen Anesthetic		* Allergy to Chosen Anesthetic
	* Uncooperative Patient		* Uncooperative Patient
	=~~Supplies~~=
			==Equipment Needed==
	* 20 cc Syringe with a 27 Gauge Needle		* 20 cc Syringe with a 27 Gauge Needle
	* Spare 18 Gauge Needle (to draw up anesthetic)		* Spare 18 Gauge Needle (to draw up anesthetic)
Línea 18:		Línea 21:
	* Pillow or Blankets		* Pillow or Blankets
	* Packaged, Moist Towelette		* Packaged, Moist Towelette
	=~~Technique~~<ref>Nystrom, PO. et al. Local perianal block for anal surgery. Tech Coloproctol. 2004; 8(1):23-6</ref>=
			==Procedure<ref>Nystrom, PO. et al. Local perianal block for anal surgery. Tech Coloproctol. 2004; 8(1):23-6</ref>==
	* Inform the patient about the procedure and potential complications		* Inform the patient about the procedure and potential complications
	* Obtain Consent to perform the procedure		* Obtain Consent to perform the procedure
Línea 29:		Línea 33:
	* Aspirate to rule out intravascular placement prior to injecting 3 -5 mL of anesthetic		* Aspirate to rule out intravascular placement prior to injecting 3 -5 mL of anesthetic
	* Continue to the other preselected areas, fanning the needle circumferentially in order to surround the anal area with local anesthetic		* Continue to the other preselected areas, fanning the needle circumferentially in order to surround the anal area with local anesthetic
	=References=
			==Complications==


			==See Also==


			==External Links==

			==References==
	<References/>		<References/>

			[[Category:Procedures]]

Devin Smith at 03:00, 6 February 2017

2017-02-06T03:00:33Z

← Revisión anterior		Revisión del 03:00 6 feb 2017
Línea 1:		Línea 1:
	=Background==		=Background=
	* Perianal blocks have been shown to be comparable to general anesthesia for in terms of pain control in anal procedures including surgeries <ref>Gerjy, R. et al. Randomized clinical trial of stapled haemorrhoidopexy performed under local perianal block versus general anaesthesia. Br J Surgy. 2008; 95(11):1344-51.</ref>		* Perianal blocks have been shown to be comparable to general anesthesia for in terms of pain control in anal procedures including surgeries <ref>Gerjy, R. et al. Randomized clinical trial of stapled haemorrhoidopexy performed under local perianal block versus general anaesthesia. Br J Surgy. 2008; 95(11):1344-51.</ref>
	* "Perianal block is a safe, feasible, reliable, and reproducible mode of anesthesia." <ref>Bharathi, R. et al. Evidence based switch to perianal block for ano-rectal surgeries. International Journal of Surgery. 2010; 8:29–31</ref>		* "Perianal block is a safe, feasible, reliable, and reproducible mode of anesthesia." <ref>Bharathi, R. et al. Evidence based switch to perianal block for ano-rectal surgeries. International Journal of Surgery. 2010; 8:29–31</ref>

Devin Smith: Created page with "=Background== * Perianal blocks have been shown to be comparable to general anesthesia for in terms of pain control in anal procedures including surgeries Gerjy, R. et al..."

2017-02-06T03:00:16Z

Created page with "=Background== * Perianal blocks have been shown to be comparable to general anesthesia for in terms of pain control in anal procedures including surgeries <ref>Gerjy, R. et al..."

Página nueva

=Background==
* Perianal blocks have been shown to be comparable to general anesthesia for in terms of pain control in anal procedures including surgeries <ref>Gerjy, R. et al. Randomized clinical trial of stapled haemorrhoidopexy performed under local perianal block versus general anaesthesia. Br J Surgy. 2008; 95(11):1344-51.</ref>
* "Perianal block is a safe, feasible, reliable, and reproducible mode of anesthesia." <ref>Bharathi, R. et al. Evidence based switch to perianal block for ano-rectal surgeries. International Journal of Surgery. 2010; 8:29–31</ref>
=Indications=
* [[Rectal foreign body|Rectal Foreign Body Removal]]
* [[External hemorrhoid excision]]
* [[Rectal prolapse]]
*[[Anorectal abscess]]
=Contraindications=
* Overlying Infection
* Allergy to Chosen Anesthetic
* Uncooperative Patient
=Supplies=
* 20 cc Syringe with a 27 Gauge Needle
* Spare 18 Gauge Needle (to draw up anesthetic)
* Local Anesthetic (e.g. [[Lidocaine]] or [[Bupivacaine]])
* Silk Tape
* Pillow or Blankets
* Packaged, Moist Towelette
=Technique<ref>Nystrom, PO. et al. Local perianal block for anal surgery. Tech Coloproctol. 2004; 8(1):23-6</ref>=
* Inform the patient about the procedure and potential complications
* Obtain Consent to perform the procedure
* Place the patient in the prone position, placing either a pillow or blankets under their hips for comfort and ideal positioning
* Using tape, separate the patient's buttocks from one another to better visualize the perianal area
* Draw up anesthetic into your 20 cc syringe using the spare 18 Gauge Needle
* Ensure that the perianal area is clean by removing debris with the Moist Towelette
* Peripheral to the anal sphincter, choose multiple injection sites that allow for fanning circumferentially around the anus
* Advance the syringe with the 27 Gauge needle attached into one of these preselected areas
* Aspirate to rule out intravascular placement prior to injecting 3 -5 mL of anesthetic
* Continue to the other preselected areas, fanning the needle circumferentially in order to surround the anal area with local anesthetic
=References=
<References/>

← Revisión anterior		Revisión del 12:18 14 feb 2017
Línea 37:		Línea 37:

	==See Also==		==See Also==
			*[[Nerve and regional blocks (main)]]

	==External Links==		==External Links==