Pudendal nerve block







Key Points





  • Patient selection plays a major role in performing the block; it is challenging with obese patients.



  • Ultrasound experience is required to maximize the success rate of the block.



  • Vascular injection is a risk if no spread is visualized with deposition of local anesthetics under ultrasound.



  • Avoid contamination as the area of injection is close to the perianal area.




Indications





  • Perineal operations in both sexes.



  • Hypospadias and circumcision are the most common surgeries.



  • Scrotal and testicular surgeries with a supplementation of ilioinguinal blockade.



Contraindications





  • Infection or presence of perianal inflammation.



Sonoanatomy



Jun 15, 2021 | Posted by in ANESTHESIA | Comments Off on Pudendal nerve block
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