BACKGROUND: The buttock is a common location for cutaneous abscesses among patients presenting for emergency department care. Procedural pain management sufficient to permit adequate incision and drainage often requires moderate sedation or general anesthesia. DISCUSSION: We describe a patient with a buttock abscess who successfully underwent incision and drainage with a regional superior cluneal nerve blockade instead of moderate sedation. CONCLUSIONS: Our experience suggests that superior cluneal nerve blockade may reduce the need for procedural sedation, expedite care, and reduce costs for some patients presenting with buttock abscesses. Copyright 2010. Published by Elsevier Inc.
BACKGROUND: The buttock is a common location for cutaneous abscesses among patients presenting for emergency department care. Procedural pain management sufficient to permit adequate incision and drainage often requires moderate sedation or general anesthesia. DISCUSSION: We describe a patient with a buttock abscess who successfully underwent incision and drainage with a regional superior cluneal nerve blockade instead of moderate sedation. CONCLUSIONS: Our experience suggests that superior cluneal nerve blockade may reduce the need for procedural sedation, expedite care, and reduce costs for some patients presenting with buttock abscesses. Copyright 2010. Published by Elsevier Inc.
Authors: Shadi Lahham; Taylaur Smith; Jessa Baker; Amanda Purdy; Erica Frumin; Bret Winners; Sean P Wilson; Abdulatif Gari; John C Fox Journal: World J Emerg Med Date: 2017