9. Ankle Block

Question 1

ankle block indication

Answer 1

surgery on foot
tourniquet not required

Question 2

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

Answer 2

no

Question 3

ankle block common surgeries

Answer 3

bunionectomy
toe amputation
debriedement
podiatric surgery
metatarsal osteotomy

Question 4

how many nerves must be anesthetized to block the foot

Answer 4

5

Question 5

which nerves must be blocked to anesthetize the foot

Answer 5

deep peroneal
superficial peroneal
saphenous
posterior tibial
sural

Question 6

Answer 6

deep peroneal

Question 7

Answer 7

superficial peroneal

Question 8

Answer 8

saphenous

Question 9

Answer 9

posterior tibial

Question 10

Answer 10

sural

Question 11

how many deep injections for ankle blocks

Answer 11

2

Question 12

ankle block deep injections

Answer 12

deep peroneal
posterior tibial

Question 13

deep injections block

Answer 13

both sensory and motor nerves

Question 14

how many superficial injections for ankle blocks

Answer 14

3

Question 15

ankle block superficial injections

Answer 15

superficial peroneal
saphenous
sural

Question 16

superficial injections block

Answer 16

sensory only

Question 17

sciatic nerve branches blocked in ankle block

Answer 17

deep peroneal
superficial peroneal
tibial
sural

Question 18

femoral nerve branches blocked in ankle block

Answer 18

saphenous

Question 19

deep peroneal nerve block landmark

Answer 19

anterior tibial artery

Question 20

deep peroneal block needle insertion

Answer 20

lateral to anterior tibial artery
advanced until bone

Question 21

deep peroneal volume

Answer 21

5mL

Question 22

deep peroneal anesthetizes

Answer 22

dorsal web space between 1st 2 toes

Question 23

superficial peroneal block landmark

Answer 23

anterior tibial artery

Question 24

superficial peroneal needle insertion

Answer 24

lateral to the anterior tibial artery

Question 25

superficial peroneal needl advancement

Answer 25

advance superficially toward superior lateral malleolus

Question 26

superficial peroneal volume

Answer 26

3-5 mL

Question 27

superficial peroneal anesthetizes

Answer 27

dorsum of foot and toes NOT between 1st 2 toes

Question 28

saphenous landmark

Answer 28

anterior tibial artery medial malleolus

Question 29

saphenous nerve runs

Answer 29

over the anterior portion of the medial malleolus

Question 30

saphenous needle insertion

Answer 30

lateral to anterior tibial pulse

Question 31

saphenous needle advancement

Answer 31

superficially towards superior medial malleolus

Question 32

saphenous volume

Answer 32

3-5 mL

Question 33

saphenous anesthetizes

Answer 33

medial ankle medial foot medial sole

Question 34

posterior tibial nerve location

Answer 34

posterior to the medial malleolus

Question 35

posterior tibial landmarks

Answer 35

medial malleolus posterior tibial artery

Question 36

posterior tibial needle insertion

Answer 36

posterior and deep to posterior tibial pulse dorsal to medial malleous

Question 37

posterior tibial needle advancement

Answer 37

advance until hit tibia

Question 38

posterior tibial block volume

Answer 38

5 mL

Question 39

posterior tibial anesthetizes

Answer 39

most of heel most of the sole tips of the toes

Question 40

sural block landmark

Answer 40

achilles tendon lateral malleolus

Question 41

sural nerve location

Answer 41

between achilles tendon and lateral malleolus

Question 42

sural nerve needle insertion

Answer 42

inserted lateral to achilles tendon

Question 43

sural nerve needle advancement

Answer 43

advanced toward lateral malleolus

Question 44

sural nerve volume

Answer 44

3-5 mL

Question 45

sural nerve anesthetizes

Answer 45

lateral foot lateral heel lateral/posterior sole

Question 46

ankle block total volume

Answer 46

15-20 mL per foot

Question 47

ankle block does not anesthetize

Answer 47

ankle

Question 48

ankle block advantages

Answer 48

low risk for LAST fast block no motor block

Question 49

ankle block disadvantages

Answer 49

multiple injections epi can compromise circulation

Question 50

ankle block CI

Answer 50

foot circulation compromised foot infection epi foot edema