• J Emerg Med · Jul 2010

    Case Reports

    Superior cluneal nerve block for treatment of buttock abscesses in the emergency department.

    • Andrew Herring, Dan D Price, Arun Nagdev, and Barry Simon.
    • Department of Emergency Medicine, Highland General Hospital, Alameda County Medical Center, Oakland, California 94062, USA.
    • J Emerg Med. 2010 Jul 1;39(1):83-5.

    BackgroundThe 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.DiscussionWe describe a patient with a buttock abscess who successfully underwent incision and drainage with a regional superior cluneal nerve blockade instead of moderate sedation.ConclusionsOur 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.

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