Abstract
Bony and soft tissue injuries that necessitate emergency department evaluation/intervention can be extremely painful and be associated with much patient apprehension. Various anesthetic procedures can be implemented to diminish patient discomfort, potentially leading to heightened overall outcomes. Performance requires a thorough understanding of the relevant procedural anatomy, pertinent technical skills, and the avoidance of possible barriers/pitfalls that can taper results. The following chapter will communicate a fundamental physiologic background of regional/local anesthesia, indications for utilization, a stepwise guide toward implementing a multitude of various anatomic anesthetic blocks, as well as key obstacles to elude during planning/execution. Advanced technique(s) regarding nociception for more significant injuries and/or desire for augmented pain relief are also categorically addressed.
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Purcell, D., Steinberg, E.M., Terry, B.A. (2019). Anesthesia. In: Purcell, D., Chinai, S., Allen, B., Davenport, M. (eds) Emergency Orthopedics Handbook. Springer, Cham. https://doi.org/10.1007/978-3-030-00707-2_2
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