Diferencia entre revisiones de «Nerve block: Auricular»
(Created page with "==Background== *External ear innervated by four sensory nerves **Greater auricular nerve **Lesser occipital nerve **Auricular branch of vagus nerve **Auriculotemporal nerve *P...") |
Sin resumen de edición |
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| Línea 10: | Línea 10: | ||
*Repair of lacerations | *Repair of lacerations | ||
*I+D of hematoma or abscess, or other painful procedures involving the external ear | *I+D of hematoma or abscess, or other painful procedures involving the external ear | ||
==Contraindications== | |||
*Infection at injection site | |||
*Allergy to chosen anesthetic | |||
==Equipment== | |||
*Syringe, 5-10cc | |||
*Needle, 25-27 gauge | |||
*Local anesthetic (e.g. [[lidocaine]] 1%, [[bupivacaine]] 0.25%) | |||
**Lidocaine with epinephrine may be used for regional block, but epi should not be used for direct infiltration of the ear | |||
*Antiseptic (e.g. Betadine, Chlorhexidine, Alcohol) | |||
*Sterile gloves | |||
Revisión del 23:07 6 sep 2017
Background
- External ear innervated by four sensory nerves
- Greater auricular nerve
- Lesser occipital nerve
- Auricular branch of vagus nerve
- Auriculotemporal nerve
- Provides anesthesia to the entire ear without distorting anatomy
Indications
- Repair of lacerations
- I+D of hematoma or abscess, or other painful procedures involving the external ear
Contraindications
- Infection at injection site
- Allergy to chosen anesthetic
Equipment
- Syringe, 5-10cc
- Needle, 25-27 gauge
- Local anesthetic (e.g. lidocaine 1%, bupivacaine 0.25%)
- Lidocaine with epinephrine may be used for regional block, but epi should not be used for direct infiltration of the ear
- Antiseptic (e.g. Betadine, Chlorhexidine, Alcohol)
- Sterile gloves