Digital Block

• • Provides analgesia in the fingers and toes for treatment of fractures, dislocations, and lacerations.

Hematoma Block

• • Analgesia for fracture reduction.

  • Most commonly used to reduce distal radius fractures or fractures of the fifth metacarpal (boxer’s fractures).

Absolute

• • Skin or soft tissue infection at or near the area to be injected.

  • Allergy to lidocaine or other agents used for regional anesthesia.

• • 5- or 10-mL syringe.

  • 18-gauge needle to draw medicine; 25–27-gauge needle to inject medicine.

  • Alcohol swabs to clean skin.

  • 1% or 2% plain lidocaine (no epinephrine) or 0.25% bupivacaine (can be combined 1:1).

• • Inadequate pain relief.

  • Allergic reaction.