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What happens if you have a patient who steps on a nail? How can you make this procedure easier for you and the patient?
– Use a Posterior Tibial Nerve Block! !
To Perform This Procedure:
- Have the patient lay on a stretcher and externally rotate their hip and have their knee flexed.
- Clean the area
- Use a linear probe with a sterile probe cover on
- Place the probe with the marker towards the patient’s right, just above the medial malleolus and positioned posteriorly.
- Identify the posterior tibial nerve next to the posterior tibial artery and center the probe on the nerve
- Use a 22–30-gauge needle in an out of plane technique, slowly inject about 5 cc of anesthetic, making sure you are just above the nerve and not in the artery.
References
https://www.acep.org/patient-care/map/map-posterior-tibial-nerve-block-tool
Tibial — Highland EM Ultrasound Fueled pain management (highlandultrasound.com)