Herring Andrew, Price Dan D, Nagdev Arun, Simon Barry
Department of Emergency Medicine, Highland General Hospital, Alameda County Medical Center, Oakland, California 94062, USA.
J Emerg Med. 2010 Jul;39(1):83-5. doi: 10.1016/j.jemermed.2009.08.033. Epub 2009 Nov 17.
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.
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.
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.
