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This is ported content from WikiEM It is subject to the compatible CC-BY-SA license. Effective method of regional pain control of the forearm. Surgical

count, culture, gram stain, crystal analysis See joint-specific page for procedures Arthrocentesis: shoulder Arthrocentesis: elbow Arthrocentesis: wrist Arthrocentesis:

Burns Complex Hand Injury Need for pain control or to perform painful procedure in distribution of ulnar nerve Infection overlying injection site 10 cc

Cranio-cervical Dermatomes. Headache disorders Trauma or need to perform painful procedure on area innervated by supraorbital nerve Infection overlying injection

Upper extremity fracture Serious trauma/injury or need to perform painful procedure in area covered by distribution of nerve to be blocked Infection overlying

and 27ga needle Chloraprep Perform thorough neurovascular exam prior to procedure Always calculate your anaesthetic volume beforehand Larger volumes of more

Patella fracture Any other significant trauma or need to perform painful procedure in distribution of femoral nerve (anterior and lateral lower extremity)

increases the success rate of this block Trauma or need to perform painful procedure on area innervated by median nerve Infection overlying injection site Previous

This is ported content from WikiEM It is subject to the compatible CC-BY-SA license. Suspicion of septic arthritis Suspicion of crystal arthropathy Evaluation

Suspicion of septic arthritis Suspicion of crystal arthropathy Evaluation of therapeutic response for septic arthritis Unexplained arthritis with synovial

This is ported content from WikiEM It is subject to the compatible CC-BY-SA license. Suspicion of septic arthritis Suspicion of crystal arthropathy Evaluation

This is ported content from WikiEM It is subject to the compatible CC-BY-SA license. Suspicion of septic arthritis Suspicion of crystal arthropathy Evaluation

This is ported content from WikiEM It is subject to the compatible CC-BY-SA license. Suspicion of septic arthritis Suspicion of crystal arthropathy Evaluation

This is ported content from WikiEM It is subject to the compatible CC-BY-SA license. Suspicion of septic arthritis Suspicion of crystal arthropathy Evaluation

This is ported content from WikiEM It is subject to the compatible CC-BY-SA license. Suspicion of septic arthritis Suspicion of crystal arthropathy Evaluation

This is ported content from WikiEM It is subject to the compatible CC-BY-SA license. Suspicion of septic arthritis Suspicion of crystal arthropathy Evaluation

elevated blood pressure, and the patient may rarely become cushingoid. The procedure may be repeated if pain recurs Cervical Facet Joint Injection Third Occipital

prior to treatment. The second group comprises of those patients where the procedure was incorrectly selected or incorrectly performed. This has been expanded

arthroplasty. Hip resurfacing procedures have a high rate of revision surgery compared to total hip arthroplasty. This procedure is probably only suitable

For a drug it is an agent that lacks any pharmacological effect. For a procedure it is an intervention that lacks any specific anatomical or physiological

response may not have been recorded accurately. If they have had a certain procedure the technique may not have been successful. For example if they have had

This article is a stub. Patient prone with pillow under pelvis Obtain transverse view of target injection site Identify lateral to the spinous process

a higher platelet concentration is not necessarily more effective. The procedure can be repeated. Pure PRP (P-PRP): Has a low leucocyte content, and is

This article is a stub. Probably the most widely recommended technical ultrasound guidelines are those produced by the ESSR (European Society of Musculoskeletal

lateral portion of the posterior scalp. Cranio-cervical Dermatomes. The procedure is similar to the the greater occipital nerve injection Locate the LON

This article is a stub. See Lam et al for an open access review on ultrasound guided nerve hydrodissection, a technique primarily used to treat certain

Vasovagal reaction within 5-10 minutes post-procedure can occur and lying patients down for these procedures prevents any unnecessary injuries if one was

further protect you from hitting a vascular structure. Cervical Spine Procedures Cervical Facet Joint Injection Cervical Retrolaminar Injection Greater

Chlorhexidine, Betadine, Rubbing Alcohol) Sterile Gloves Sterile Drape Discuss the procedure with the patient regarding desired effects and potential complications

This article is a stub. Buffer the lidocaine with sodium bicarbonate. Warm the local anaesthetic Use fresh needles with repeated injections Use a small

This is ported content from WikiEM It is subject to the compatible CC-BY-SA license. Provides anesthesia to the shoulder and upper arm. Performed by injecting

This article is a stub. Main article: Third Occipital Nerve The third occipital nerve (TON) arises from the medial branches of the posterior ramus of the

sometimes used to treat sacroiliac joint pain. Protocols vary for this procedure. Cusi et al (RCT): Dorsal interosseous injection, done under CT guidance

standard practice in NZ. This article is still missing information. This is a procedure used to both all three branches of one or more dorsal rami, by injecting

obtaining consent, position the patient with their hand supine on the procedure table. Ensure correct finger and mark with the tip of an ear speculum over

article is still missing information. Lumbar spine arthrodesis is surgical procedure that is typically performed to address degenerative conditions with mechanical

This article is a stub. This page or section deals with a controversial topic. Please use your clinical judgement. See Hauser et al for a free open access

This article is still missing information. A pelvis x-ray, also known as a pelvis series or pelvis radiograph, is a single x-ray of the pelvis to include

but aren't sufficient in themselves in allowing a safe and effective procedure. The bevel and the notch are coincident. For example if the notch is pointing

This article is a stub. The two most important aspects to consider when comparing ultrasound vs landmark guided injections are accuracy and efficacy. For

ganglion impar with local anaesthetic with or without corticosteroid is a procedure to treat Coccydynia, chronic perineal pain, and other conditions. Needle

specific to other comorbidities (e.g. diabetes mellitus). Discuss how the procedure is performed. Obtain verbal or written consent as appropriate. Have the

reported 1. Lessened improvement in pain scores post-procedure are associated with: multiple procedures, poor initial response, longer onset of symptoms,

recurs after ~400 days when it comes to medial branch neurotomy, but the procedure can be repeated. See review by Russo et al. Traditionally it has only been

one month. In practice the buffering is done immediately prior to the procedure. There have been many studies that have looked at buffering lidocaine with

in right to left dimensions. Classic Oblique Approach Preparation Pre-procedure evaluation with provocation testing Patient positioned prone with a pillow

used in research but this procedure has its issues. Leggett et al in 2015 found mixed evidence for radiofrequency procedures for discogenic pain. Helm