Surgery Book

//fpnotebook.com/

Radial Nerve Block

Aka: Radial Nerve Block, Regional Anesthesia of the Radial Nerve, Radial Nerve Block at Wrist
  1. See Also
    1. Radial Nerve
    2. Radial Nerve Block at Elbow
    3. Median Nerve Block
    4. Ulnar Nerve Block
    5. Regional Anesthesia (Nerve Block)
    6. Local Skin Anesthesia
    7. Field Block
    8. Hematoma Block
    9. Digital Block
    10. Point of Care Ultrasound (POCUS)
  2. Indications
    1. Anesthesia of Radial Nerve distribution distal to wrist
  3. Precautions
    1. Avoid injecting directly into Radial Nerve
    2. Avoid injection into radial artery
  4. Preparation
    1. Needle: 27 gauge 1.5 inch
    2. Skin preparation (e.g. Hibiclens or Betadine)
      1. See Regional Anesthesia
    3. Anesthetic
      1. See Regional Anesthesia for Anesthetic options
      2. Local Anesthetic 2-5 ml (Ultrasound) or 5-10 ml (landmark)
  5. Technique: Ultrasound-Guided (preferred)
    1. Images
      1. radialNerveBlockWristUltrasound.jpg
    2. Position
      1. Wrist and hand resting on the ulnar aspect with the thumb upwards
    3. Ultrasound Probe
      1. Linear Probe transverse to Forearm over the radial aspect, 2 cm proximal to the radial styloid
    4. Injection
      1. Direct the needle towards proximal Forearm
      2. Inject into the perineural space
  6. Technique: Landmarks
    1. Images
      1. radialNerveBlockWristLandmark.jpg
    2. Position
      1. Wrist and hand resting on the ulnar aspect with the thumb upwards
    3. Insertion site
      1. Insert needle 1-2 cm proximal and lateral to radial styloid
      2. Direct needle at 10-20 degree angle distally toward thumb
      3. Inject into subcutaneous tissue
    4. Warning: Distal Paresthesias with needle with injection
      1. Indicates needle is at Radial Nerve
      2. Do not inject here!
      3. Remove needle and reposition
  7. References
    1. Pfenninger (1994) Procedures, Mosby, p. 1036-54
    2. Salam (2004) Am Fam Physician 69(4):896 [PubMed]
    3. Yurgil (2020) Am Fam Physician 101(11):654-64 [PubMed]

You are currently viewing the original 'fpnotebook.com\legacy' version of this website. Internet Explorer 8.0 and older will automatically be redirected to this legacy version.

If you are using a modern web browser, you may instead navigate to the newer desktop version of fpnotebook. Another, mobile version is also available which should function on both newer and older web browsers.

Please Contact Me as you run across problems with any of these versions on the website.

Navigation Tree