Emergency Cases Northwest Group

Case 056 High Brow A&E

Situation

Forehead laceration was sutured with nerve block.

Background

An elderly man sustained a laceration above his right eye. Instead of injecting lidocaine into the wound and swelling the area, a supraorbital and supratrochlear nerve block was done.

Assessment

The advantage of using this regional analgesia is it doesn’t distort the anatomy of the wound.

Recommendation

The blue and green areas can be anaesthetised:

Inject [a few millilitres of LA] along the red track:

Both images: https://www.downeastem.org/nerve-blocks-of-the-face-and-mouth

Ask a senior colleague how to do it.

Rarely temporary blindness can be a complication if LA enters the orbit.

PLEASE DO NOT INCLUDE ANY PATIENT IDENTIFIABLE DATA OR GEO-LOCATION DATA IN THE SUBMISSION OR IN ANY ATTACHED IMAGES

Emergency Cases Northwest Group