Regional Anesthesia of the Hand and Wrist
Click (or tap) on the Area of the Injury or on the Nerve Block you Want to Perform
- Anesthetic of choice
- Syringe (5-10mL)
- Blunt Fill Needle
- 23-27 gauge needle
- Antiseptic wipe
DON'T FORGET ABOUT YOUR DOSING GUIDELINES AND ADVERSE REACTIONS!
- Hsu C, Stack AM, Walls RM, et al. Infiltration of local anesthetics. UpToDate Online. UpToDate, Inc. Last revised 17 February 2015. Accessed 6 November 2015.
- Becker DE, Reed KL. Essentials of Local Anesthetic Pharmacology. Anesth Prog. 2006;53(3):98-109.
- Davis B. What dose of epinephrine contained in local anesthesia can be safely administered to a patient with underlying cardiac disease during a dental procedure? Juornal of Canadian Dental Association. 2010;76:a36.
- Pavlidakey PG, Brodell EE, Helms SE. Diphenhydramine as an alternative local anesthetic agent. Journal of Clinical and Aesthetic Dermatology. 2009;2(10):37-40.
- Green SM, Rothrock SG, Gorchynski J. Validation of diphenhydramine as a dermal local anesthetic. Annals of Emergency Medicine. 1994;23(6):1284-9.
- Malamed SF. Diphenhydramine hydrochloride; its use as a local anesthetic in dentistry. Anesth Proc. 1973; 20(3):76-82.
- Rosenberg PH, Veering BT, Urmey WF. Maximum recommended doses of local anesthetics: a multifactorial concept. Reg Anesth Pain Med. 2004;29(6):564-75.
- Lexicomp Online. Lexi-Drugs. Lidocaine, bupivacaine, mepivicaine, tetracaine, chloroprocaine, diphenhydramine. Hudson, Ohio: Lexi-Comp, Inc. Last revised October 2015. Accessed November 2015.
- Williams DJ, Walker JD. A nomogram for calculating the maximum dose of local anesthetic. Anesthesia. 2014;69:847-853.