- Dosage calculations
- Buipivicane (chirocaine)
- 0.5% solution
- Lidocaine
- 2% solution
- A scalp block using a mixture of 1% lidocaine with 1:100 000 epinephrine, 0.5% bupivacaine, plus 8.4% sodium bicarbonate is applied by the neurosurgeon.
- Based on descriptions in: Costello et al. Journal of Clinical Neuroscience 2004; 11(1):16-19.
Nerve | Infiltration Site |
Auriculotemporal | Superficial to zygomatic root, posterior to superficial temporal artery |
Zygomaticotemporal | Midway between auriculotemporal nerve and supraorbital nerve |
Supraorbital | Immediately above supraorbital notch, mid-pupillary line |
Supratrochlear | Immediately below angle superior and medial orbital borders |
Lesser Occipital | Midpoint of posterior border of sternocleidomastoid |
Greater Occipital | ⅓ of way from external occipital protuberance to mastoid process |
- Images
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