The types of blockades
1. Cervical vagosimpaticescoy.
2. Lumbar.
3. Case.
4. Presanella.
5. Short.
How to do
Vagosimpaticescoy cervical novocaine blockade is doing, placing the patient on the table so that under the blade was a small cushion, and turn his head in the direction opposite from the surgeon. The doctor finds the sternocleidomastoid muscle and the place where she would around any external jugular vein. Much pressure with the index finger on the rear edge of the muscle, just above the found point, shifting the organs of the neck. A needle with a syringe, which is not more than 10 ml of novocaine, it makes skin the nodule and, using a thick needle, moves inward and slightly to the top. As you move the needle enters the small portions novocaine. Blood and novocaine solution from the needle to emerge should not.
Intrapelvical novocaine blockade do, putting the patient on his back. Find the anterior spine Powszechny bones, the doctor, stepping back from her 1 cm, insert a thin needle 1-2 ml of novocaine. Then by means of a long needle pierces the skin over this nodule, moving from front to back, to the inner surface of the wing Powszechny bone, enters the peritoneum 200-400 ml solution of novocaine.
Short novocaine blockade do to find the circumference of the inflammatory focus. Departing 1 cm from the edge, the doctor inserts 1-2 ml of novocaine thin needle until until the formed nodules. After acting around the circumference of the inflammation, the doctor inserts into the interior of tissues are 10-50 ml of novocaine with antibiotics. Then 5-10 ml of solution is injected under the base of the source of inflammation.
Presacral make novocaine blockade, placing the patient on the side so that his knees were pulled up to the stomach. In place of separating the coccyx and the anus, the doctor makes a intradermal puncture and injects 2-3 ml of novocaine. Through the skin the nodule enters a long needle, moving towards the tailbone. As soon as the needle will reach the more dense the tissue, the doctor starts to enter the novocaine, at the same time moving deeper, taking reference points on the anterior surface of the sacrum.
Casing novocaine blockade doing, placing the patient on his back and his limbs straight. Novocaine can be administered injections anterior surface of the thigh or shoulder, and using two points from the anterior and posterior surfaces of the limb. Using a furnace the needle, the doctor injects 1-2 ml of novocaine, sliding in the direction of the projection of the neurovascular bundle. Long needle he pierces the tumour, moving perpendicular to the bone into the thick muscles. If the thigh is pierced, is introduced 120-200 ml of solution if the shoulder is 100-120 ml.