Hematoma Blocks

Hematoma blocks are a simple, quick, and effective mode of regional anesthesia for isolated closed fracture reduction. Although hematoma blocks are safe the anesthesia that they provide is not as efficacious as the intravenous regional Bier block (see below). The hematoma block is a useful alternative when the Bier block is contraindicated.28

Technique Superficial anesthesia is obtained with local infiltration or other technique such as EMLA applied to the skin over the fracture site. An analgesic dose of narcotic can also be given if deemed appropriate. The fracture site is identified and using sterile technique, the hematoma is aspirated using a 10-mL syringe and 20-to 22-gauge needle. Lidocaine 1% without epinephrine is infiltrated (3 to 10 mL, maximum of 0.5 mL/kg) into the fracture cavity and around the periosteum. The block is effective within 5 to 10 min, with several hours duration.

Spiritual Weight Loss Mentality

Spiritual Weight Loss Mentality

Awesome Ways To Get Over Your Mentality That Keeps you Overweight! This Book Is One Of The Most Valuable Resources In The World When It Comes To Results In Your Slim-down and Health Efforts! Day in day out we keep ourselves absorbed with those matters that matter the most to us. A lot of times, it might be just to survive and bring in some money. In doing so we at times disregard or forget about the extra matters that are essential to balance our lives. They’re even more essential to supply real meaning to our world. You have to pay attention to your wellness.

Get My Free Ebook


Post a comment