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Fa: Anatomy 2 > 9. Ankle Block > Flashcards

9. Ankle Block Flashcards

1
Q

ankle block indication

A

surgery on foot
tourniquet not required

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2
Q

does the ankle block provide analgesia for turniquet pain above the ankle?

A

no

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3
Q

ankle block common surgeries

A

bunionectomy
toe amputation
debriedement
podiatric surgery
metatarsal osteotomy

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4
Q

how many nerves must be anesthetized to block the foot

A

5

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5
Q

which nerves must be blocked to anesthetize the foot

A

deep peroneal
superficial peroneal
saphenous
posterior tibial
sural

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6
Q
A

deep peroneal

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7
Q
A

superficial peroneal

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8
Q
A

saphenous

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9
Q
A

posterior tibial

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10
Q
A

sural

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11
Q

how many deep injections for ankle blocks

A

2

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12
Q

ankle block deep injections

A

deep peroneal
posterior tibial

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13
Q

deep injections block

A

both sensory and motor nerves

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14
Q

how many superficial injections for ankle blocks

A

3

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15
Q

ankle block superficial injections

A

superficial peroneal
saphenous
sural

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16
Q

superficial injections block

A

sensory only

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17
Q

sciatic nerve branches blocked in ankle block

A

deep peroneal
superficial peroneal
tibial
sural

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18
Q

femoral nerve branches blocked in ankle block

A

femoral

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19
Q

deep peroneal nerve block landmark

A

anterior tibial artery

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20
Q

deep peroneal block needle insertion

A

lateral to anterior tibial artery
advanced until bone

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21
Q

deep peroneal volume

A

5mL

22
Q

deep peroneal anesthetizes

A

dorsal web space between 1st 2 toes

23
Q

superficial peroneal block landmark

A

anterior tibial artery

24
Q

superficial peroneal needle insertion

A

lateral to the anterior tibial artery

25
Q

superficial peroneal needl advancement

A

advance superficially toward superior lateral malleolus

26
Q

superficial peroneal volume

A

3-5 mL

27
Q

superficial peroneal anesthetizes

A

dorsum of foot and toes
NOT between 1st 2 toes

28
Q

saphenous landmark

A

anterior tibial artery
medial malleolus

29
Q

saphenous nerve runs

A

over the anterior portion of the medial malleolus

30
Q

saphenous needle insertion

A

lateral to anterior tibial pulse

31
Q

saphenous needle advancement

A

superficially towards superior medial malleolus

32
Q

saphenous volume

A

3-5 mL

33
Q

saphenous anesthetizes

A

medial ankle
medial foot
medial sole

34
Q

posterior tibial nerve location

A

posterior to the medial malleolus

35
Q

posterior tibial landmarks

A

medial malleolus
posterior tibial artery

36
Q

posterior tibial needle insertion

A

posterior and deep to posterior tibial pulse
dorsal to medial malleous

37
Q

posterior tibial needle advancement

A

advance until hit tibia

38
Q

posterior tibial block volume

A

5 mL

39
Q

posterior tibial anesthetizes

A

most of heel
most of the sole
tips of the toes

40
Q

sural block landmark

A

achilles tendon
lateral malleolus

41
Q

sural nerve location

A

between achilles tendon and lateral malleolus

42
Q

sural nerve needle insertion

A

inserted lateral to achilles tendon

43
Q

sural nerve needle advancement

A

advanced toward lateral malleolus

44
Q

sural nerve volume

A

3-5 mL

45
Q

sural nerve anesthetizes

A

lateral foot
lateral heel
lateral/posterior sole

46
Q

ankle block total volume

A

15-20 mL per foot

47
Q

ankle block does not anesthetize

A

ankle

48
Q

ankle block advantages

A

low risk for LAST
fast block
no motor block

49
Q

ankle block disadvantages

A

multiple injections
epi can compromise circulation

50
Q

ankle block CI

A

foot circulation compromised
foot infection
epi
foot edema

Fa: Anatomy 2 (16 decks)

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