digital nerve block

• site should be marked

• 1% or 2% lignocaine can be used – NO adrenaline

• 23G (or finer) needle

• when first giving the injection the patient may jump, so it is prudent to warn the patient

• the toe can be grasped distally, but care must be taken to avoid a needle stick injury to oneself and also to avoid passing the needle right through the toe