Generic consent for regional anaesthesia
Generic script
- Wash hands, introduce self
- Explain indication for block
- Explain US guidance if applicable
- Local anaesthetic - calculate maximum dose by body weight
- 2mg/kg bupivacaine or 3mg/kg lidocaine without adrenaline
- 1% = 10mg/ml
- Complications and countermeasures
- infection, bleeding, failure
- local anaesthetic toxicity
- Explains process
- IV access, monitoring, positioning
- LA to skin if deep, then deeper LA infiltration around nerve
- Explains expected effect → analgesia will last for a few hours, but regain sensation
- Invites questions
- Addresses concerns
wrist block
- Indications:
- Landmarks:
- Injection sites:
ankle block
- Indications: injuries or foreign body in sole
| Nerve | Territory | Longitude | Latitude | Depth | Probe position |
|---|---|---|---|---|---|
| Tibial nerve | Heel + sole | medial malleolus | at level of medial malleolus | deep to posterior tibial artery | |
| Deep peroneal nerve | extensor retinaculum | lateral to anterior tibial art | |||
| Saphenous nerve | |||||
| Superficial peroneal nerve | fascia of ext digitorum longus | 5-10 cm proximal and anterior to the lateral malleolus | |||
| Sural nerve | superficial saphenous vein | superficial to deep fascia | posterior to lateral malleolus |