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
  • 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