Surgery Book


Hematoma Block

Aka: Hematoma Block, Fracture Infiltration with Local Anesthetic
  1. See Also
    1. Regional Anesthesia (Nerve Block)
    2. Local Skin Anesthesia
    3. Field Block
    4. Hematoma Block
    5. Digital Block
    6. Point of Care Ultrasound (POCUS)
  2. Indications
    1. Clean, closed Fracture site
    2. Fracture sites where Hematoma Block used
      1. Distal Radius Fracture
      2. Phalanx Fracture
      3. Ankle Fracture (by orthopedics)
  3. Contraindications
    1. Contaminated area or open Fracture
    2. Young children
  4. Protocol
    1. Clean and prep area with Betadine or Hibiclens
    2. Identify Hematoma by aspirating blood
      1. Flash back of blood from Fracture site usually seen
    3. Inject Lidocaine 1-2% without Epinephrine into Fracture site
    4. Aspirate blood from Fracture site after injection
    5. Reinject with aspirated fluid a few times
      1. Blood Volume aspirated equals initial Lidocaine vol.

Fracture infiltration with local anesthetic (C0472452)

Concepts Therapeutic or Preventive Procedure (T061)
SnomedCT 231303004
English Fracture infiltration LA, Fracture block, Fracture infiltration with local anaesthetic, Fracture infiltration with local anesthetic, Haematoma block, Hematoma block, Fracture infiltration with local anesthetic (procedure)
Spanish infiltración en fractura con anestesia local (procedimiento), infiltración en fractura con anestesia local
Derived from the NIH UMLS (Unified Medical Language System)

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