Nerve Blocks of the Face & Mouth

Nerve Blocks of the Face & Mouth

Nerve Blocks of the Hand & Wrist

Nerve Blocks of the Hand & Wrist

Nerve Blocks of the Foot & Ankle

Nerve Blocks of the Foot & Ankle

Materials

Supplies for Basic Blocks

Supplies for Basic Blocks

For Your Basic Blocks you Will Need:

  • Anesthetic of choice
  • Syringe (5-10mL)
  • Blunt Fill Needle
  • 23-27 gauge needle
  • Antiseptic wipe

 

Dosing and Adverse Effects

Commonly Used Local Anesthetics  - Courtesy of UCMC ED pharmacy. Written by: Brittany Slocum, PharmD, Edited by: Jessie Winter, PharmD, BCPS

Location of Commonly USeD Anesthetics at UCMC - Courtesy of UCMC ED pharmacy. Written by: Brittany Slocum, PharmD. Edited by: Jessie Winter, PharmD, BCPS

Location of Commonly USeD Anesthetics at UCMC - Courtesy of UCMC ED pharmacy. Written by: Brittany Slocum, PharmD. Edited by: Jessie Winter, PharmD, BCPS

Adverse Effects of Local Anesthetics - Courtesy of UCMC ED pharmacy. Written by: Brittany Slocum, PharmD. Edited by: Jessie Winter, PharmD, BCPS

Adverse Effects of Local Anesthetics - Courtesy of UCMC ED pharmacy. Written by: Brittany Slocum, PharmD. Edited by: Jessie Winter, PharmD, BCPS

References

  1. 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.
  2. Becker DE, Reed KL. Essentials of Local Anesthetic Pharmacology. Anesth Prog. 2006;53(3):98-109.
  3. 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.
  4. Pavlidakey PG, Brodell EE, Helms SE. Diphenhydramine as an alternative local anesthetic agent. Journal of Clinical and Aesthetic Dermatology. 2009;2(10):37-40.
  5. Green SM, Rothrock SG, Gorchynski J. Validation of diphenhydramine as a dermal local anesthetic. Annals of Emergency Medicine. 1994;23(6):1284-9. 
  6. Malamed SF. Diphenhydramine hydrochloride; its use as a local anesthetic in dentistry. Anesth Proc. 1973; 20(3):76-82.
  7. Rosenberg PH, Veering BT, Urmey WF. Maximum recommended doses of local anesthetics: a multifactorial concept. Reg Anesth Pain Med. 2004;29(6):564-75. 
  8. Lexicomp Online. Lexi-Drugs. Lidocaine, bupivacaine, mepivicaine, tetracaine, chloroprocaine, diphenhydramine. Hudson, Ohio: Lexi-Comp, Inc. Last revised October 2015. Accessed November 2015.
  9. Williams DJ, Walker JD. A nomogram for calculating the maximum dose of local anesthetic. Anesthesia. 2014;69:847-853.

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