What are best practices in the performance of digital nerve blocks?

Updated: May 16, 2018
  • Author: Dmitry Volfson, DO; Chief Editor: Meda Raghavendra (Raghu), MD  more...
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See the list below:

  • Avoid epinephrine use in the digits; a clamped Penrose drain can be used to limit bleeding.

  • Limit the patient’s discomfort by using a smaller needle, injecting slowly, and using small amounts of anesthetics.

  • Anesthesia of the great toe is more difficult to achieve and requires 3-sided/4-sided ring blocks.

  • Use of sterile technique is essential to limit the risk of introducing infections (especially with the transthecal block).

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